Guyuron B, Michelow B J
Department of Plastic Surgery, Western Reserve University, Cleveland, Ohio, USA.
Plast Reconstr Surg. 1997 Jul;100(1):154-60. doi: 10.1097/00006534-199707000-00025.
Endoscopic forehead technique provides an effective method for rejuvenation of the upper face. Distinct advantages of this technique over classic methods of forehead rejuvenation such as coronal or subcutaneous approaches include significant reduction of incisional scars. Described here are three refinements related to (1) control of hair, (2) differential release of the periosteum, and (3) advanced fixation methods. Control of hair can be achieved simply by braiding and the use of an Endoscopic Access Device. Extensive release of the periosteum and arcus marginalis is recommended laterally, while elevating the medial periosteum either intact or with conservative release. Different and technologically more advanced fixation methods are described to provide better control of elevated forehead. Incorporation of these refinements strives to optimize aesthetic results while minimizing operative morbidity. These refinements have been implemented during the care of 29 patients and have proven to be of major value in achieving greater patient satisfaction and technical advancement.
内镜下额部技术为上面部年轻化提供了一种有效的方法。与经典的额部年轻化方法如冠状入路或皮下入路相比，该技术的显著优势包括显著减少手术切口瘢痕。本文介绍了三项改进措施，分别涉及（1）毛发控制、（2）骨膜的差异化松解以及（3）先进的固定方法。通过编发和使用内镜接入装置即可简单地实现毛发控制。建议在外侧广泛松解骨膜和眶缘，同时完整保留或进行保守松解内侧骨膜。文中描述了不同的且技术上更先进的固定方法，以更好地控制抬高的额部。纳入这些改进措施旨在优化美学效果，同时将手术并发症降至最低。这些改进措施已应用于29例患者的治疗中，并已证明在提高患者满意度和技术进步方面具有重要价值。
