摘要
探讨先天性睑四联症Ⅰ期修复术的效果。本组４例手术均采用内眦韧带缩短及Ｓｐａｅｔｈ氏改良法矫治内眦赘皮，Ｂｌａｓｋｏｒｉｃ楔形瓣切除术做外眦成形术，经皮肤切口上睑提肌缩短徙前术矫治上睑下垂。三种术式均为同期手术，术后随访观察１～２年。本组４例患者术后均见内眦赘皮消失，泪阜外露。内眦间距由术前平均４０ｍｍ减至术后平均３３ｍｍ，睑裂横径由术前平均２１ｍｍ增至术后平均２６ｍｍ。睑裂纵径由术前平均４ｍｍ增至术后平均８ｍｍ。皮肤瘢痕不明显，容貌大为改观。本文采用的手术方法术式简单，创伤小，缩短了手术时间，减少了病人痛苦并对手术设计、术中要点及本方法的优点和存在的问题进行了讨论。
Probe into the effects of one stage repair for congenital Komoto syndrome. The procedure included shortening of ligaments of internal canthus Spaeths amelioration to rectify epicanthus, Blaskorics resection to repair the external canthus and palpebralis shortening to rectify the droped upper eyelid in 4 cases. The three operation procedures were made in the same periods. After operation, the 4 cases were observed for 1 to 2 years. Redundant skin of internal canthus disappeared and lacrimal-caruncle exposed,the internal con-thus space decresed to 33mm on the average comparing with 44mm before operation, palpebral-aperture horizontal space increased to 26mm on the average comparing with 21mm before operation and palpebral-aperture longitudinal space increaed to 8mm on the average comparing with 4mm before operations, the incision scars were not noticeable and the appearance of the patients was greatly improved. The operation methods possesses the advantages of easy to perform, small wounds, short operation time and less suffering of patients. The design essentials,advantages and remaining problems of the operation were also discussed in the article.
出处
《实用美容整形外科杂志》
1997年第2期78-80,共3页
Journal of Practical Aesthetic and Plastic Surgery
关键词
先天性睑四联症
眼睑整形
内眦矫正
Congenital tetrad, Eyelid reshaping, Internal canthus rectifying
