摘要
目的介绍先天性皮肤松弛症的主要特征及应用除皱术治疗先天性皮肤松弛症的手术方法和治疗效果。方法对3例先天性皮肤松弛症患者应用除皱术治疗,改善其衰老面容,并对瘢痕愈合、手术效果和持续时间进行总结分析。结果本组共3例患者。术后随访6~24个月。所有患者均存在一定程度的复发,复发程度以颏颈部最重,面颊区较轻。患者及家属对手术结果持肯定态度。结论除皱手术是改善先天性皮肤松弛症患者衰老面容的重要手段,对于浅筋膜的处理可以减缓患者面部皮肤松弛的复发。然而,因为病例过少且缺乏长期随访,手术思路选择的正确性及患者预后评估有待进一步研究论证。
Objective To introduce the apparent character of congenital cutis laxa and the surgical method and treatment effect of our rhytidectomy. Methods Rhytideetomy was conducted on the temporal, mandibular and cervical regions for 3 patients with congenital cutis laxa, aimed at improving their aging facial appearance. Postoperative appearance, sustaining time and scar condition were summarized and analyzed. Results All 3 patients were followed-up for 6 to 24 months. All patients had a certain degree of recurrence, in which the cervical and nasolabial regions were most severe, but the cheek region was relatively unchanged. The patients and their families were positive about the results of surgery. Conclusion Rhytidectomy is an important method to improve the aging face of congenital cutis laxa patients. Manipulating the SMAS layer can prolong the surgical effect. However, a shortage of cases or long time follow-up prevents us from estabilishing a precise conclusion on the choice of surgery methods.
作者
李无言
周璐
王太玲
于浩
郭鑫
侯典举
宋维铭
王佳琦
LI Wu-yan ZHOU Lu WANG Tai-ling YU Hao GUO Xin HOU Dian-ju SONG Wei-ming WANG Jia-qi.(The 3rd Department of Plastic Surgery, Plastic Surgery Hospital （Institute） of Chinese Academy of Medical Science, Beijing 100144, China)
出处
《中国美容整形外科杂志》
CAS
2017年第1期26-30,共5页
Chinese Journal of Aesthetic and Plastic Surgery
作者简介
通信作者：王佳琦，Email：wangjiaqi@pumc．edu．cn
