Pauline Joy F Santos, Michelle A McGill, Alex N Kerendi, Foad Nahai
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引用次数: 0
Abstract
Dissecting deep to the superficial musculoaponeurotic system, SMAS, a popular option for facelifts, has the potential for injury to the parotid gland leading to post operative sialoceles and fistulas. Similarly, deep plane procedures in the neck which include partial submandibular gland resection may lead to salivary gland leaks. We previously described the management of sialocele following rhytidectomy.1 Since then, administration of Botulinum toxin A has emerged as the primary treatment and prevention of this rare complication. The technique of administration and dosage of botulinum toxin in the treatment algorithm is not well-defined. We present a literature review and our current protocol of the most efficacious injection technique and dosing to prevent and treat injury to the parotid and submandibular glands.
对浅层肌肉神经系统(SMAS)进行深层解剖是面部拉皮手术的常用方法,但有可能损伤腮腺,导致术后涎腺肿大和瘘管。同样,包括颌下腺部分切除术在内的颈部深平面手术也可能导致涎腺渗漏。1 从那时起,肉毒杆菌毒素 A 已成为治疗和预防这种罕见并发症的主要方法。肉毒杆菌毒素的给药技术和剂量在治疗方案中尚无明确定义。我们对文献进行了回顾,并介绍了目前预防和治疗腮腺和颌下腺损伤最有效的注射技术和剂量方案。
期刊介绍:
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.