摘要
目的探讨眶隔法重睑成形术修复重睑术后肉条眼的临床效果。方法回顾性分析2020年1至12月就诊于湖南省人民医院的重睑术后肉条眼行修复手术的患者临床资料。采用眶隔法重睑成形术进行肉条眼的修复,术中彻底松解瘢痕粘连,去除肌肉下层疏松脂肪筋膜组织,水平剪开眶隔,将剪开眶隔的下部以其与上睑提肌筋膜的融合处为蒂,向下翻转下置,与下方眼轮匝肌上缘及其后方睑板前筋膜缝合固定。术后随访观察重睑形态及肉条、凹陷变化情况并评价其临床效果。结果共纳入51例患者,其中男2例,女49例,年龄21~61岁,均为双侧肉条眼;1次术后37例,2次术后11例,3次术后3例;静态性肉条眼41例,动态性肉条眼10例。所有患者均获随访6~12个月,均于术后7 d拆线,伤口愈合良好。末次随访时的治疗效果评价:满意41例(满意率为80.4%),基本满意8例,不满意2例。2例不满意者大小眼比较明显,小眼侧均存在轻度上睑下垂,在术后半年经矫正上睑下垂后效果基本满意。结论眶隔法重睑成形术利用眶隔的作用,具有良好的矫正重睑术后肉条眼的作用。
Objective To investigate the clinical effect of the orbital septum-method for the repair of pretarsal fullness after double eyelid blepharoplasty.Methods Date of patients with pretarsal fullness double eyelid who underwent repair surgery in Hunan Provincial People’s Hospital from January 2020 to December 2020 were anlalyed retrospectively.All patients were treated with orbital septum-method double eyelid blepharoplasty.During the operation,the scar adhesion was completely released.After the loose adipose fascia tissue under the muscle was removed,the orbital septum was cut horizontally.Using the fusion of the levator aponeurosis with septum as a pedicle,the lower part of the orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia.We evaluated the outcomes of this double eyelid repair surgery in the patients undergoing the procedure.Results Fifty-one patients in this group were followed up for 6-12 months.At 7 days postoperatively,the skin wounds were well healed and the sutures were removed in all patients.At 6-12 months postoperatively,the surgical results were satisfactory in 41 patients(satisfactory rate was 80.4%),basically satisfactory in 8 patients,and unsatisfactory in 2 patients.These two patients had obvious bilaterally asymmetrical double-eyelid folds,one eye was obviously bigger than the other,and the smaller eye displayed mild ptosis.After reoperation to correct the mild ptosis,the results were rated as basically satisfactory.Conclusion The use of orbital septum-method in the repair of pretarsal fullness double eyelid after surgery has a good effect.
作者
李高峰
龙希任
张博
丁卫
朱轶
符安琪
刘小加
Li Gaofeng;Long Xiren;Zhang Bo;Ding Wei;Zhu Yi;Fu Anqi;Liu Xiaojia(Department of Plastic and Cosmetic Surgery,Hunan Provincial People’s Hospital,the First Affiliated Hospital of Hunan Normal University,Changsha 410005,China)
出处
《中华整形外科杂志》
CSCD
2023年第2期149-153,共5页
Chinese Journal of Plastic Surgery
基金
湖南省卫生健康委科研项目(20200250)。
关键词
眼睑成形术
修复
眼睑
眶隔
睑板前筋膜
肉条眼
Blepharoplasty
Rehabilitation
Eyelid
Orbital septum
Pretarsal fascia
Pretarsal fullness
