Характеристика состояния деформированой кожи при проведении ритидэктомии с учетом биомеханики кожно-жировых лоскутов

Abstract

Despite continuous development of technologies and the technician of carrying out a ritidektomiya, postoperative complications remain the main problem when carrying out reconstructive and recovery and esthetic operations. Being guided by data of some authors, it is possible to note that usually they are connected with depth and borders an otsloyka of skin and fatty rags, namely: necrosis of a skin and fatty rag, rough hypertrophic or keloidny hems. Work purpose: Increase of efficiency of surgical treatment of patients with an involutional ptoz of skin of the top and average face zones by definition of optimum borders peeling and a tension of skin and fatty rags in these regions. Materials and methods of research. Rubtsevozmineni of tissue of 50 patients during the post-operational period after carrying out top and average a ritidektomiya by the classical and modified technique. When planning in everyone concrete cases of esthetic operation, we left from results of the carried-out biomechanical researches. Results and their discussion. As the basic principle we have used division the soyedinitelnotkannykh of structures of the person on mainly dynamic and basic. Dynamic function is carried out hypodermic fatty cellulose and its soyedinitelnotkanny Strom, a superficial fastion. Basic soyedinitelnotkanny structures are presented by fastsialny knots and a periosteum. The positive tendency of a state рубцово the changed fabric, at patients of 1 group as it was also in control group was observed, but the general indicators of a condition of a postoperative hem are much higher in 1 group. In a year after the carried-out surgery there were results which were estimated as excellent. The group of persons at whom the condition of a hem has been estimated well has increased. In comparison with control group the condition of a hem in 1 group in a year was better what testified to efficiency of the modernized technique of the top and average ritidektomiya.