Park重睑术中部分切除眼轮匝肌深层脂肪矫正上睑臃肿疗效观察

发布时间：2018-04-24 20:36

本文选题：上睑臃肿 + Park重睑术　；参考：《中国修复重建外科杂志》2017年08期

【摘要】：目的探讨Park重睑术中同时切除部分上睑眼轮匝肌深层脂肪矫正上睑臃肿的效果。方法 2015年9月—2016年7月,对32例双侧上睑臃肿患者行Park重睑术时,同时切除部分眼轮匝肌深层脂肪。男10例,女22例;年龄19~32岁,平均25岁。均为双眼手术。提上睑肌肌力均正常,均无重睑手术史。结果患者切口均Ⅰ期愈合,无明显淤血肿胀、提上睑肌功能障碍发生。术后患者均获随访,随访时间2~14个月,平均10个月。患者重睑线弧度自然流畅,内眦赘皮无牵拉变形,重睑形态达自然状态,无凹陷性瘢痕形成,上睑臃肿明显改善,提上睑肌功能正常。患者对手术效果满意。结论 Park重睑术中部分切除眼轮匝肌深层脂肪可有效改善上睑臃肿患者重睑术后的美学效果,达到功能与形态完美结合的目的。
[Abstract]:Objective to investigate the effect of Park double eyelid excision of partial upper eyelid orbicularis oculi muscle deep fat in correction of upper eyelid bloated. Methods from September 2015 to July 2016, 32 patients with bilateral bloated upper eyelids were treated with Park double eyelid operation and partial deep fat of orbicularis oculi muscle was removed simultaneously. Male 10 cases, female 22 cases, the age is 1932 years old, average 25 years old. Both eyes were operated on. The muscle strength of levator palpebral muscle was normal and had no history of double eyelid operation. Results all the incisions healed in the first stage, no obvious congestion and swelling, and the dysfunction of levator palpebral muscle occurred. All patients were followed up for 2 ~ 14 months (mean 10 months). The curve of double eyelid line was natural smooth, the epicanthus had no stretch deformation, double eyelid shape was in natural state, no sunken scar was formed, the bloated upper eyelid was obviously improved, and the function of levator palpebral muscle was normal. The patient was satisfied with the effect of the operation. Conclusion partial excision of deep fat of orbicularis oculi muscle in Park double eyelid operation can effectively improve the aesthetic effect of double eyelid operation in patients with bloated upper eyelid and achieve the purpose of perfect combination of function and morphology.
【作者单位】：潍坊医学院整形外科研究所;
【基金】：山东省自然科学基金资助项目(ZR2014HL054) 山东省高等学校科技计划项目(J14LL08)~~
【分类号】：R62;R779.6

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