Delonca D
Rev Laryngol Otol Rhinol (Bord). 1997;118(1):53-6.
This new technique of fronto-temporal facelift first described by Tranck Trepsat, while permitting very limited incisions for an endoscopic approach, also allows results at least as good without use of the endoscope. It also provides a simple and elegant solution to the problem of temporary fixation in all closed facelifts: the temporary self-tapping self-breaking rivet, this paper is based on the first series of 28 patients. A distinction is drawn between two frontal regions, identified by their characteristic mode of ageing, and treated selectively by "periscopy". For the fronto-lateral region and the temple: here it is the cutaneous layer which ages and sags; it is treated by subcutaneous dissection. For the median frontal region; it is the whole cutaneo-muscular tissue which ages and sags. This is treated by subgaleal elevation with a rugine from the three superior marking points. This new technique of facelift is based on a more detailed analysis of the fronto-temporal ageing process, and on selective treatment for it. It achieves a return to normal appearances. The main factor is lateral lifting. The short scars and the avoidance of the need for video-endoscopy make this a quick and economical procedure.
这种额颞部除皱新技术最初由特兰克·特雷普萨特描述，在内窥镜入路时切口非常有限，而且在不使用内窥镜的情况下也能取得至少同样好的效果。它还为所有封闭式除皱术中的临时固定问题提供了一种简单而巧妙的解决方案：即临时自攻自断铆钉。本文基于首批28例患者。根据两个额部区域不同的衰老特征模式进行区分，并通过“镜视检查”进行选择性治疗。对于额外侧区域和颞部：此处是皮肤层衰老和下垂，通过皮下剥离进行治疗。对于额中部区域：是整个皮肤肌肉组织衰老和下垂，通过用骨膜剥离器从三个上方标记点进行帽状腱膜下提升来治疗。这种新的除皱技术基于对额颞部衰老过程更详细的分析，并对其进行选择性治疗。它能恢复正常外观。主要因素是外侧提升。短切口以及无需视频内窥镜使得这成为一种快速且经济的手术。
