| Autor: |
Sandy Pritchard, Gregory Waslen |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
Canadian Journal of Plastic Surgery. 21:253-255 |
| ISSN: |
1195-2199 |
| DOI: |
10.1177/229255031302100412 |
| Popis: |
After studying the anatomy of 10 fresh cadavers, we developed a technique for the treatment of the cervical area during face lifts. We called this technique PLATYSMA-SUSPENSION and PLATYSMA-PEXY rather than plication. This technique consists of suspending the free edge of the platysma muscle and fixing it to a resistant tissue close to the earlobe (Lore’s fascia or temporo-parotid fascia). The anterior triangle of the neck was well defined and there was no need to undermine the platysma muscle because of a perfect sliding plane between the platysma and sternocleidomastoid muscles. This technique is both simple and effective. It generates long-lasting results, without the inconveniences or complications associated with other techniques. MATERIALS AND METHODS: Ten fresh cadavers (ie, 20 hemifaces) were subjected to the proposed technique. They were photographed and filmed at all stages. Ten more cadavers were dissected to study the submental area and we discovered that the best way to recreate the cervico mental angle and to rebuild the floor of the mouth is to use a digastric corset so that we could rebuild the retaining ligaments between the platysma/digastric and mylohyoid muscles. More than 100 patients were operated by the senior author; they underwent platysma-suspension and platysma-pexy of the fascia described by Lore; associated in difficult necks (Knize 3 and 4 necks) with the digastric corset. The patients were followed-up for a minimum of 12 months. CONCLUSION: PLATYSMA-SUSPENSION and PLATYSMA-PEXY in the fascia described by Lore is an extremely long-lasting and effective technique in cervical lifting. It generates impressive results, even in the most inferior portion of the neck. It redefines the entire anterior triangle, especially the sternocleidomastoid muscle and the mandibular contours. Furthermore, PLATYSMA-SUSPENSION minimizes the risk of nerve injury and hematoma by preventing deep and unnecessary dissections because the superficial cervical fascia has a perfect sliding plane between the platysma and the deepest structures of the neck. In difficult necks, we do associate a digastric corset using a submental incision. Pre-op botulinum toxin injections appears to be of great interest leaving the muscle at rest during the post-operative phase. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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