Новости | Магазин | Журналы | Контакты | Правила | Доставка | |
Вход Регистрация |
Цель исследования: роль ультразвукового исследования (УЗИ) при планировании хирургической коррекции возрастных изменений мягких тканей лица и шеи. Материал и методы исследования. Проведен проспективный анализ исследования и лечения 80 пациентов c инволютивными изменениями мягких тканей лица и шеи, находившихся в клинике “Моситалмед” в период с 2018 по 2020 г. Возраст пациентов варьировал от 24 до 60 лет. Средний возраст составил 42 ± 6,89 года (±SE стандартное отклонение среднее). Пациентов женского пола было 67 (83,7%), мужского - 13 (16,3%). Результаты. Отмечена диагностическая ценность УЗИ при оценке инволюционных изменений мягких тканей лица и шеи для определения причин контурных деформаций. Заключение. Ультразвуковая визуализация в вертикальном положении пациента дает возможность определить степень участия каждой ткани в формировании деформации, что является крайне важным для планирования различных методик омоложения лица и шеи.
Ключевые слова:
ультразвуковая диагностика, эстетическая хирургия, лицо, шея, лечение, хирургическая коррекция, ultrasound diagnostics, aesthetic surgery, face, neck, treatment, surgical correction
Литература:
1.Shadfar S., Perkins S.W. Anatomy and Physiology of the Aging Neck. Facial Plast. Surg. Clin. N. Am. 2014; 22: 161-170. http://dx.doi.org/10.1016/j.fsc.2014.01.009
2.Luu N.N., Friedman O. Facelift Surgery: History, Anatomy, and Recent Innovations. Facial Plast. Surg. Published online: 2020-09-16. https://doi.org/ 10.1055/s-0040-1715616
3.Jacono A.A. A novel volumizing extended deep-plane facelift using composite flap shifts to volumize the midface and jawline. Facial Plast. Surg. Clin. N. Am. 2020; 28: 331-368. https://doi.org/10.1016/j.fsc.2020.03.001
4.Fedok F.G. Another look at platysmaplasty in facelifting. Facial Plast. Surg. 2020; 36 (4): 395-403. https://doi.org/ 10.1055/s-0040-1714062
5.Quatela V., Montague А., Manning J.P., Antunes М. Extended Superficial Musculoaponeurotic System Flap Rhytidectomy. Facial Plast. Surg. Clin. N. Am. 2020; 28: 303-310. https://doi.org/10.1016/j.fsc.2020.03.007
6.Auersvald L.A., Auersvald A. Sternohyoid muscles plication and sternocleidomastoid muscles rejuvenation in neck lift: a retrospective study of 1,019 consecutive patients. Plast. Aesthet. Res. 2021; 8: 4. http://dx.doi.org/10.20517/2347-9264.2020.187
7.Sykes J.M, Riedler K.L, Cotofana S, Palhazi P. Superficial and Deep Facial Anatomy and Its Implications for Rhytidectomy. Facial Plast. Surg. Clin. N. Am. 2020; https://doi.org/10.1016/j.fsc.2020.03.005
8.Ramirez O.M. Multidimensional evaluation and surgical approaches to neck rejuvenation. Clin. Plast. Surg. 2014; 41 (1): 99-107. http://dx.doi.org/10.1016/j.cps.2013.09.011
9.Smith R.M, Papel R.M. Difficult Necks and Unresolved Problems in Neck Rejuvenation. Clin. Plast. Surg. 2018; 45: 611-622. https://doi.org/10.1016/j.cps.2018.06.009
10.Weinstein A.L, Nahai F. A layered approach to neck lift. Plast. Aesthet. Res. 2021; 8: 11. http://dx.doi.org/10.20517/2347-9264.2020.192
11.Okuda I., Yamakawa Y., Mitani N. et al. Objective evaluation of the relationship between facial expression analysis by the facial action coding system (FACS) and CT/MRI analyses of the facial expression muscles. Skin Res. Technol. 2020; 26 (5): 727-733. https://doi.org/10.1111/srt.12864
12.Okuda I., Akita K., Komemushi T. et al. Basic Consideration for Facial Aging: Analyses of the Superficial Musculoaponeurotic System (SMAS) Based on Anatomy. Aesthetic Surg. J. 2021; 41 (3): NP113-NP123. https://doi:10.1093/asj/sjaa305
13.Alfen N.V., Gilhuis H.J., Keijzers J.P. et al. Quantitative facial muscle ultrasound: feasibility and reproducibility. Muscle Nerve. 2013; 48: 375-380. https://10.1002/mus.23769
14.Volk G.F., Pohlman M., Sauer M. et al. Quantitative ultrasonography of facial muscles in patients with chronic facial palsy. Muscle Nerve. 2014; 50: 358-365. http://10.1002/mus.24154
15.Safran T., Gorsky K., Viezel-Mathieu A. et al. The role of ultrasound technology in plastic surgery. J. Plast. Reconstr Aesth. Surg. 2018; 71: 416-424. http://10.1016/j.bjps.2017.08.031
16.Wortsman X., Ferreira-Wortsman C., Quezada N. Facial Ultrasound Anatomy for Noninvasive Cosmetic and Plastic Surgery Procedures. Atlas of Dermatologic Ultrasound. 2018. http://10.1007/978-3-319-89614-4_6
17.De Greef S., Claes P., Mollemans W. et al. Semi-automated ultrasound facial soft tissue depth registration: method and validation, J. Forensic Sci. 2005; 50: 1-7. http://10.1520/JFS2004547
18.Mashkevich G., Wang J., Rawnsley J., Keller G.S. The Utility of Ultrasound in the Evaluation of Submental Fullness in Aging Necks. Arch. Facial Plast. Surg. 2009; 11 (4): 240-245.
Objective. Role of ultrasound examination in planning surgical correction of age-related changes of the face and neck soft tissues. Methods. A prospective analysis of the study and treatment of 80 patients with involutive changes in the soft tissues of the face and neck who were carried out from 2018 to 2020 in the Mositalmed Clinic. The age of the patients ranged from 24 to 60 years. The mean age was 42 ± 6.89 years (± SE standard deviation mean). There were 67 female patients (83.7%), male patients - 13 (16.3%). Results. The diagnostic value of ultrasound examination in involutional changes in the soft tissues of the face and neck for determining the causes of contour deformities is noted. Conclusion. Ultrasound imaging in an upright position of the patient makes it possible to determine the degree of participation of each tissue in the formation of deformity, which is extremely important for planning various techniques for rejuvenating the face and neck.
Keywords:
ультразвуковая диагностика, эстетическая хирургия, лицо, шея, лечение, хирургическая коррекция, ultrasound diagnostics, aesthetic surgery, face, neck, treatment, surgical correction