摘要
目的 探讨眼轮匝肌-上睑提肌固定（Park法）在切开法重睑成形术中的应用价值.方法 采用眼轮匝肌-上睑提肌固定（Park法）行重睑成形术1384例（男136例,女1248例）,其中伴轻度上睑下垂者436例.结果 1384例术后切口均一期愈合,无明显淤血、肿胀.随访4-22个月,平均10个月.重睑脱落或变浅16例,重睑皱襞不对称11例,重睑皱襞不规则或不流畅10例,睑板前皮肤皱褶（手风琴效应）9例.大部分受术者重睑线弧度自然流畅,睁眼睫毛动感上翘,上睑下垂完全矫正,闭眼上睑皮肤平整,无明显凹陷、瘢痕及肉条现象.结论 该方法损伤小,恢复快,相对埋线法重睑成形术重睑皱襞更加稳定,相对传统切开法重睑成形术避免了术后手术区域的凹陷、不平整及肉条现象,因其保留了完整的眼轮匝肌,故更接近生理性重睑解剖结构.
Objective To investigate the application of orbicularis oculi-levator aponeurosis fixation technique （Park） in double-eyelid operation.Methods From June 2014 to March 2016,136 male and 1248 female patients （436 patients with ptosis） were selected to receive the treatment.Results The incision healed well without obvious postoperative hematoma.The patients were followed up to 4-22 months （mean 10m） after operation.Most patients had smooth upper eyelid crease,upturned lashes and dynamic fold.The skin tended to spread evenly without dimple.The ptosis were also corrected.Still,there were 16 patients with the crease disappeared,11 patients with asymmetry crease,10patients showing an incomplete line,and 9 patients with the accordion effect.Conclusions The orbicularis oculi-levator aponeurosis fixation technique is a minimally-invasive procedure and decreases the recovery time.It is more solid compared with suturing technique,and can avoid sunken,depression,puffiness compared with a traditional full-cutting method.It looks more like a natural double eyelid because of protecting the orbicularis oculi muscle.
出处
《中华医学美学美容杂志》
2017年第5期307-309,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
重睑成形术
眼轮匝肌-上睑提肌固定
上睑下垂
Blepharoplasty
Orbicularis oculi-levator aponeurosis fixation technique
Ptosis
