面部老化机制与年轻化手术方法的探讨
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  • 英文题名:Inquire into the Factors of the Facial Aging and the Method of the Facial Rejuvenative Surgery.
  • 作者:王晓军
  • 论文级别:博士
  • 学科专业名称:整形外科
  • 学位年度:1996
  • 导师:陈宗基
  • 学科代码:100210
  • 学位授予单位:中国协和医科大学
  • 论文提交日期:1996-04-01
摘要
面部老化虽然是正常人的自然的病生过程,但由于人类的社会性特点,这种老化表现给人们造成了很大的心理压力。尤其是随着人们生活水平的提高,社会意识的增强,这种压力也就与日俱增。以外科手术的方法,使老化的面部再现年轻化,不仅使受术者再现青春魅力,更可改善心理健康度,增强自信心,提高生命质量。因此,面部老化的年轻化研究,也就成了当代整形美容外科研究的热点。10余年来,已有大量的文献报导了从不同角度、用不同的方法对面部老化机制以及年轻化的手术方法进行的研究,但仍有许多问题未能得到解决。
     作者采用核磁共振及解剖学研究的方法,就面部老化的因素及其内在的联系进行了综合的分析,并根据研究结果提出了新的年轻化的手术方法。
     200例不同年龄段核磁共振录像片测量分析结果发现:
     1、面部的老化不仅表现为骨质的萎缩,而且表现为特定部位的骨质增生。作者首先发现颧骨增厚是老化的普遍规律。颧骨的突出使面容呈现出憔悴和衰老感。因此,适当去除部分过高的颧骨骨质,对已老化面容的年轻化表达有明显的效果。
The study to the facial aging and the facial rejuvenative surgery is the focal point of the plastic surgery in the ages. Up-to-now, there are many problems remained unsolved.
    Through measuring and analyzing the aging
    changes of the facial bone and facial soft tissues
    in M.R, We studied the factors of facial aging and
    their inter relationshipes. We modify the
    procedure of the facial rejuvenative surgery.
    Two hundred the MR images was divided into two groups
    One aged twenty to thirty and the other aged over fifty-five years old.
    Data obtained from MR revealed:
    1.In the aging face there exists not only the atrophy but hypertrophy of the facial bone. The author first find that the zygoma hypertrophy are general law of the facial aging. The prominence of the zygoma produce the aging appearance. Reducing the prominence of the zygoma properly will be useful for rejuvenating the aging appearance.
    2.The prominence of the zygoma and the atrophy
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