摘要
目的探讨利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术的临床效果。方法自2022年1月至2022年8月,中国医学科学院整形外科医院面颈整形科对96例单睑患者行重睑成形术,将睑板前筋膜与切口上、下唇眼轮匝肌及下唇真皮组织缝合固定,关闭切口时再将上、下唇皮肤与睑板前筋膜间断缝合,加强固定。结果96例患者术后切口均一期愈合。术后获随访3~16个月,除1例单侧眼睑出现不平整的皱褶外,其余患者恢复较快,瘢痕不明显,重睑弧度流畅,形态自然。未出现感染、瘢痕增生及角膜损伤等并发症。结论利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术有效地避免了重睑变浅或消失的不良效果,可获得效果稳定、自然美观的术后重睑形态。
Objective To investigate the clinical results of the blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis.Methods From January 2022 to August 2022,a total of 96 patients with single eyelids underwent the method of blepharoplasty.The anterior tarsal plate aponeurosis was sutured and fixed to the orbicularis oculi muscle of the upper and lower lip and the dermal tissue of the lower lip at the incision,and the upper and lower lip skin was then intermittently sutured to the anterior tarsal plate aponeurosis to enhance fixation when the incision was closed.Results All96 patients had primary wound healing after the operation,and the postoperative follow-up ranged from 3 to 16 months.Except for one patient with an unnatural blepharoplasty fold,the rest of the patients had a rapid recovery,inconspicuous scarring,and a smooth,natural blepharoplasty arc.No complications such as infection,hypertrophic scarring,or corneal damage were observed.Conclusion Blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis effectively avoids the undesirable effect of shallowing or disappearing lids and results in a good postoperative blepharoplasty shape with natural aesthetics and stable results.
作者
王珏
赵思纯
赵鸣宇
周栩
王太玲
王佳琦
邹翀
WANG Jue;ZHAO Sichun;ZHAO Mingyu;ZHOU Xu;WANG Tailing;WANG Jiaqi;ZOU Chong(Department of Facial and Neck Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100043,China)
出处
《中国美容整形外科杂志》
CAS
2024年第1期15-17,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
重睑成形术
眼轮匝肌
睑板前筋膜
Blepharoplasty
Orbicularis oculi muscle
Anterior tarsal plateaponeurosis
