摘要
目的探讨在颞深筋膜浅面分离，硅胶假体置入的颞部填充术的临床效果及安全性。方法单纯的颞部填充术采用局部肿胀麻醉，经颞部发际内小切口达帽状腱膜下，紧贴颞深筋膜表面行置入腔隙分离，接近眶外侧缘和颧弓上缘时谨慎钝性分离，将修剪好的硅胶假体经切口置入，准确定位固定，切口缝合后局部加压包扎。结果应用于47例（94侧）的颞部填充术患者，术后效果满意，并发症少，无一例发生永久性面神经颞支损伤。结论采用硅胶假体作为填充材料，置入颞深筋膜的浅面腔隙，手术操作简便，效果确切，安全可靠，不易出现面神经颞支损伤，值得推广使用。
Objective To investigate the clinical effect and safety of temporal augmentation by inserting silicone prothesis above fascia temporalis profunda. Methods For the simple temporal augmentation, blunt dissection for the inserted cavity was performed on the surface of fascia temporalis profunda through small incision behind the hairline under local tumescence anesthesia, the dissection was done carefully near lateral margin of orbit and superior margin of zygomatic arch, and then the trimmed silicone prothesis was inserted, fixed and sutured with local pressure dressing. Results Forty-seven cases （94 sides ） were satisfied with few complications and without permanent lesion of facial nerve. Conclusion It is a simple, effective and safe method for temporal aug- mentation with inserting silicone prothesis above the fascia temporalis profunda. The technique is worth spreading without the risk of permanent lesion of the facial nerve.
出处
《中国美容整形外科杂志》
CAS
2009年第9期545-547,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
颞部
硅胶假体
面神经
Temporal area
Silicone prothesis
Facial nerve
