Modified endoscopic rhytidectomy in forehead and temporal area
10.3760/cma.j.issn.1671-0290.2009.05.005
- VernacularTitle:内镜下额颞部除皱术的改进
- Author:
Jintu ZHU
;
Huasen QIU
;
Shousong GAO
;
Bo LIU
;
Ning ZHANG
;
Fei CHE
;
Shaojun XU
;
Xinghong SHANG
- Publication Type:Journal Article
- Keywords:
Endoscope;
Rhytidectomy;
Forehead temporal
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2009;15(5):304-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the aesthetic efficacy of modified endoscopic rhytidectomy by using the techniques to minimize tissue damage,to obviate injury to the vessels and nerves,and to control bleeding and to firm fixation.Methods Two discontinuous incisions were made in the temporal scalp during the procedure,obviating injury to the branches of the superficial temporal vessels.Endoscopic technique was used to facilitate elevating,hemostasis,slinging and fixation in the plane under superficial temporal fascia.Three transverse incisions were made after the hairline in the forhead scalp,the operation was carried out by using endoscopic equipment,and the elevated forhead flap was slinged and fixed upward to the lamina externa cranii.Results 58 cases were received endoscopic forehead and temporal rhytidectomy,only slight edema was observed after surgery,and no obvisous ecchymosis was found.All patients returned home 7 days after operation.Degree of satisfaction on long-term follow-up showed that 56 cases(96.55%)improved obviously one year postoperatively;35 cases followed up 2 years,33(94.29%)of them improved obviously.None case was suffered from facial nerve injury.Conclusion The purpose of endoscopic rhytidectomy is to avoid carrying out the operation out of sight,to minimize unexpected damage to vessels and nerves,and to facilitate dissection,hemostasis,suturing,slingling and fixation.By refining the technique,we can achieve minimal injury,shorten recovery period,and obtain more satisfactory results,so the indication for operation is extended.
