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面部皮肤支持带的应用解剖学研究
目的 通过面部的解剖研究,为临床上开展面部除皱手术提供解剖学的依据。方法 对5具尸体的头部进行逐层解剖,观察面部皮肤支持带的所处的位置和分布。结果 面部皮肤支持带可分为三类:(1)起自SMAS或筋膜,止于真皮乳头。(2)起自颅骨骨面和筋膜,止于SMAS筋膜。(3)起自颅骨骨面和筋膜,部分纤维穿过SMAS筋膜和浅筋膜,止于真皮乳头。 除观察致颧弓韧带、下颌骨韧带、颈阔肌耳韧带、颈阔肌皮肤前韧带、SMAS-颧颊韧带和下颌骨韧带外,在下颌角、口角外侧、外眦外侧等处亦有皮肤支持带存在 结论 面部皮肤支持带粗、细不等,长、短不一,除皱术中需剪断和重建某些韧带,以达到最大程度的松解和提紧效果。

第1个回答  2009-04-27
Facial skin with the application to support the study of anatomy
The purpose of the adoption of the anatomy of the face, in order to carry out clinical facelift provide anatomical basis for surgery. Methods five layers to the body anatomy of the head to observe the facial skin with the support and distribution of the position. Support with the results of facial skin can be divided into three categories: (1) starting from the SMAS or fascia, beyond the dermal papilla. (2) starting from the skull bone surface and the fascia, limited SMAS fascia. (3) starting from the skull bone surface and the fascia, and some fiber through the SMAS fascia and superficial fascia, beyond the dermal papilla. In addition to zygomatic arch ligament observation, mandibular ligament, ligament platysma ears, before the ligament platysma skin, SMAS-zygomatic cheek cruciate ligament and the mandible, in the mandibular angle, lateral numbness of the mouth, etc. are also outside the lateral canthus skin support the conclusions with the existence of support with rough facial skin, ranging from small, long and short different in rhytidectomy and reconstruction need to cut some ligaments in order to achieve the greatest degree of release and the lifting effect.
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