Classification of nasolabial folds in Asians and the corresponding surgical approaches: By Shanghai 9th People's Hospital
Classification of nasolabial folds in Asians and the corresponding surgical approaches: By Shanghai 9th People's Hospital
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DOI：
10.1016/j.bjps.2015.03.023
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发表时间：
2015-07-01
影响因子：
2.7
通讯作者：
Zhang, Yu-Guang
中科院分区：
文献类型：
--
作者：
Zhang, Lu;Tang, Meng-Yao;Zhang, Yu-Guang
简介：衰老的最早迹象之一出现在鼻唇沟，这是一个特殊的解剖区域，需要多方面因素综合评估。因此，仅依靠单一的指标对鼻唇沟进行分类是不够的。通过临床观察，我们发现传统的填充治疗对部分患者的改善效果甚微，这促使我们寻求一种更具体、更科学的分类标准和评价体系。观察不同年龄组、不同状态下鼻唇沟的形态特征，并与皱纹严重程度评定量表（WSRS）进行比较。结果：根据鼻唇沟的解剖学和组织学特点，将鼻唇沟分为皮肤型、脂肪垫型、肌肉型、骨修复型和混合型5种类型。结论：鼻唇沟的组织学改变与鼻唇沟的形态学改变密切相关。由于不同类型的鼻唇沟需要不同的治疗，因此准确评估和正确分类条件至关重要。(C)2015年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Introduction: One of the earliest signs of aging appears in the nasolabial fold, which is a special anatomical region that requires many factors for comprehensive assessment. Hence, it is inadequate to rely on a single index to facilitate the classification of nasolabial folds. Through clinical observation, we have observed that traditional filling treatments provide little improvement for some patients, which prompted us to seek a more specific and scientific classification standard and assessment system.Methods: A total of 900 patients who sought facial rejuvenation treatment in Shanghai 9th People's Hospital were invited in this study. We observed the different nasolabial fold traits for different age groups and in different states, and the results were compared with the Wrinkle Severity Rating Scale (WSRS). We summarized the data, presented a classification scheme, and proposed a selection of treatment options.Results: Consideration of the anatomical and histological features of nasolabial folds allowed us to divide nasolabial folds into five types, namely the skin type, fat pad type, muscular type, bone retrusion type, and hybrid type.Conclusion: Because different types of nasolabial folds require different treatments, it is crucial to accurately assess and correctly classify the conditions. (C) 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.