摘要
目的:对比SMAS筋膜瓣折叠重构与单纯SMAS筋膜下悬吊切口在中下面部除皱术中的应用效果。方法:回顾性分析2018年5月-2019年12月92例行中下面部除皱术的就医者临床资料,根据手术切口,将采用改良切口SMAS筋膜瓣折叠重构的就医者纳入A组(n=51),将采用传统切口单纯SMAS筋膜下悬吊的就医者纳入B组(n=41),比较两组临床疗效、围术期指标、客观测量指标(下颌部高度、下颌缘角度、颈部角度)、主观评估指标(鼻唇沟、木偶纹、下颌部形态)以及术后并发症发生率。结果:A组治疗优良率92.16%与B组90.24%比较,差异无统计学意义(P>0.05);A组手术时间(113.92±18.66)min和术后恢复时间(13.26±1.93)d均短于B组(168.06±26.73)min和(16.39±2.06)d,手术切口长度(9.27±1.41)cm短于B组(13.91±1.62)cm,差异均有统计学意义(P<0.05);两组手术前后下颌部高度、下颌缘角度、颈部角度组内及组间比较差异均无统计学意义(P>0.05);两组术后鼻唇沟、木偶纹、下颌部形态较术前均有改善,但术后组间比较差异无统计学意义(P>0.05);A组术后面神经或血管损伤、秃发或发际线后移、耳垂变形、皮肤坏死发生率分别为1.96%、3.92%、0.00%、1.96%与B组4.88%、4.88%、2.44%、2.44%比较,差异无统计学意义(P>0.05),A组术后血肿发生率13.73%低于B组46.34%,差异均有统计学意义(P<0.05)。结论:改良切口SMAS筋膜瓣折叠重构与传统切口单纯SMAS筋膜下悬吊两者均能有效改善面部老化,且两者除皱效果无明显差异,但改良切口SMAS筋膜瓣折叠重构术手术时间短、切口小且就医者术后恢复较快,可降低术后就医者血肿发生率。
Objective To compare the application effect of modified incision SMAS fascial flap folding reconstruction and traditional incision simple SMAS subfascial suspension in middle and lower facelift.Methods A retrospective analysis was performed on the the clinical data of 92 patients undergoing middle and lower facelift in the hospital between May 2018 and December 2019.According to diff erent surgical incision,they were divided into group A(n=51,modifi ed incision SMAS fascial fl ap folding reconstruction)and group B(n=41,traditional incision simple SMAS subfascial suspension).The clinical curative eff ect,perioperative indexes,objective measurement indexes(mandibular height,mandibular margin angle,neck angle),subjective measurement indexes(nasolabial fold,marionette line,sagging of maxillofacial soft tissue)and the incidence of postoperative complications were compared between the two groups.Results There was no signifi cant diff erence in the excellent and good rate between group A(92.16%)and group B(90.24%)(P>0.05).The operation time(113.92±18.66)min and postoperative recovery time(13.26±1.93)d in group A were shorter than those in group B(168.06±26.73)min and(16.39±2.06)d,and the incision length(9.27±1.41)cm was shorter than that in group B(13.91±1.62)cm.The diff erences were statistically signifi cant(P<0.05).There was no signifi cant diff erence in mandibular height,mandibular margin Angle,and neck Angle between the two groups before and after operation(P>0.05).The nasolabial fold,puppet lines,and mandibular morphology of the two groups were improved after operation,but there was no signifi cant diff erence between the two groups after operation(P>0.05).The incidence of facial nerve or vascular injury,alopecia or hairline backshift,earlobe deformation and skin necrosis in group A were 1.96%,3.92%,0.00%,1.96%and 4.88%,4.88%,2.44%,2.44%in group B,respectively,and the diff erence was not statistically signifi cant(P>0.05).The incidence of postoperative hematoma in group A(13.73%)was lower than that in group
作者
王炜
马树林
付莉
WANG Wei;MA Shulin;FU Li(Department of Medical Cosmetology,the Sixth People's Hospital of Chengdu,Chengdu 610051,Sichuan,China)
出处
《中国美容医学》
CAS
2023年第3期62-65,共4页
Chinese Journal of Aesthetic Medicine
