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治疗泪沟：新的分类系统，6步评估程序，透明质酸注射算法及治疗顺序
Treating the tear trough
简介
【 文献重点摘要 】
Introduction: The tear trough deformity is commonly requested for correction, most often by filler injections. However, the tear trough remains difficult to treat due to its complex anatomy, a variety of other concurrent deformities, and the high risk of complications.
Objectives: To create a standardized categorization, evaluation, and treatment protocol for the management of tear troughs with fillers.
Methods:
(1) Patient deformity profiles are determined using three categories of traits: A (Atrophy), B (Bulging), L (Laxity).
(2) A 6-step evaluation process (Tilt, Snap, Smile, Squint, Pull, Push) aids in ABL determination.
(3) Treatment is simplified into a comprehensive protocol for each category (with 6 major injection points and a variety of injection depths and volumes).
Results: The author has achieved satisfactory results using the presented protocols, with photographic examples.
Conclusion: The author proposes a comprehensive categorization system that takes into account both the tear trough and other concurrent deformities. The author also presents 6 tests to aid in categorization, and simple protocols with injection sequences, amounts, and depth.
引言：泪沟畸形通常需要矫正，最常见的是注射填充物。然而，由于其复杂的解剖结构、多种其他并发畸形以及并发症的高风险，泪沟仍然难以治疗。
目的：建立一个标准化的分类、评估和治疗方案，用于处理含填充物的泪沟。
方法：
(1)使用三类特征来确定患者的畸形特征：Ａ(萎缩性)、B(膨胀性)、L(松弛性)。
(2)一个6步评估过程(倾斜、快速、微笑、斜视、拉动、推动)有助于ABL的确定。
(3)将治疗简化为针对每一类别的综合方案(具有6个主要注射点和各种注射深度和体积)。
结果：作者用所提出的方案和照片实例取得了满意的结果。
结论：作者提出了一个综合的分类系统，同时考虑了泪沟和其他并发畸形。作者还介绍了6种测试来帮助分类，以及简单的注射顺序、注射量和注射深度的方案。
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