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논문검색

학회지 > 논문검색
논문 검색
Sang Suk Lee, Won Min Yoo, Kwan Chul Tark, Beyong Yun Park
Department of plastic and Reconstructive Surgery, College of Medicine, Yonsei University, Seoul, Korea
Correction of Glabellar Frown Wrinkles with Selective Neurotomy
J Korean Soc Aesth Surg 2001 (Sep) 007(01) 81-86
Neurotomy, Corrugator supercilii muscle, Vertical frown lines
Ksaps007-02-01.pdf Ksaps007-02-01.pdf
Frowning can be defined as the complex movement of the central lower forehead around the medial aspect of the eyebrows. It has horizontal and vertical components. Vertical glabellar lines occur from repetitive use of hyperfunctional corrugator muscle. The direct excision, coronal forehead lift, endoscopic forehead lift and transpalpebral resection of the corrugator muscle have all been described to deal with hyperfunctional corrugator activity. The temporal branch of the facial nerve enters the lateral end of the corrugator supercilii muscle. The selective block of the temporal branch of the facial nerve appeared to weaken the action of the corrugator supercilii muscle to move the eyebrow medially. In this study, authors have performed neurotomy on 17 patients from 1997 to 1999. Operations could be categorized into two groups 1) only neurotomy, 2) neurotomy in combination with endoscopic forehead lift when eyebrow ptosis is evident. The neurotomy can significantly decrease the activity of the muscle without giving injury to the sensory nerves and also without unfavorable outcome such as depressed skin surface that can result from overzealous muscle resection. We need however, further anatomic study of facial nerve and long-term follow-up period to evaluate any recurrence and complications.
이상석, 유원민, 탁관철, 박병윤
연세대학교 의과대학 성형외과학교실
선택적신경절단술을이용한미간주름교정
2001 (Sep) 007(01) 81-86