睑板前眼轮匝肌瓣在重睑皱襞过宽修复中的临床应用

发布时间：2018-08-26 07:39

【摘要】：目的:探讨睑板前眼轮匝肌瓣在重睑皱襞过宽修复中的临床应用效果。方法:回顾2014年10月至2016年10月,于吉林大学白求恩第一医院整形外科行重睑修复患者,搜集应用睑板前眼轮肌瓣修复重睑术后重睑皱襞过宽患者19例。所有患者均为女性,年龄19~47岁,平均年龄26岁。设定重睑皱襞宽度的适宜范围,根据患者重睑线与适宜范围的位置关系进行分组,分为双宽组、单宽组以及局部宽三组,并根据分组情况选择单蒂或双蒂眼轮匝肌瓣进行修复。其中双宽组患者8例、单宽组6例及局部宽5例。双宽组及单宽组应用双蒂眼轮匝肌瓣修复,局部宽组应用单蒂眼轮匝肌瓣进行修复。患者术后随访6~18个月,平均时间为12个月。对修复效果、术后并发症、满意度进行回顾性分析评价。结果:2014年10月至2016年10月,应用睑板前眼轮匝肌瓣修复重睑术后重睑皱襞过宽患者19例,术后随访6~18个月,单宽组7例(87.5%)效果非常满意,1例(12.5%)因术后轻微不对称,评价为满意;双宽组4(66.7%)例非常满意,1例(16.65%)术后双眼轻微不对称,评价满意;1例(16.65%)患者因上睑轻微凹陷,对于矫正效果不满意。局部宽组4例(80%)非常满意,1例(20%)因双侧上睑轻微不对称术后评价满意。19例患者术后重睑皱襞高度降低、双侧重睑皱襞对称、重睑弧度良好。随访中无瘢痕增生、多重睑等情况发生。结论:睑板前眼轮匝肌瓣,在重睑皱襞过宽修复中是一种简单易行、有效的方法。成功修复了眼睑的形态、恢复了双侧重睑皱襞的对称性,降低了重睑皱襞的高度,有效防止异常粘连的再发生,在功能、解剖结构及术后外形恢复上均取得较好的修复效果。
[Abstract]:Objective:To investigate the clinical effect of the tarsal anterior orbicularis oculi muscle flap in the repair of double eyelid fold widening.Methods:From October 2014 to October 2016,19 patients with double eyelid fold widening after double eyelid surgery were retrospectively reviewed. Women, aged 19-47, with an average age of 26 years, were divided into three groups according to the location of the double eyelid fold width. They were divided into three groups: double width group, single width group and local width group. The patients were followed up for 6 to 18 months with an average time of 12 months. The results of the repair, postoperative complications and satisfaction were analyzed retrospectively. Results: From October 2014 to October 2016, before the application of tarsal plate, the patients were followed up for 6 to 18 months. Following up for 6 to 18 months, 7 patients (87.5%) in the single-width group were satisfied with the results, 1 patient (12.5%) was satisfied with the slight asymmetry, 4 patients (66.7%) in the double-width group were satisfied with the results, 1 patient (16.65%) had slight asymmetry and 1 patient (16.65%) had slight concave upper eyelid. Four patients (80%) in the local width group were very satisfied with the results of correction, and one (20%) in the bilateral upper eyelid slightly asymmetrical surgery was satisfactory. 19 patients had lower double fold height, symmetrical double fold and good double fold curvature. It is a simple and effective method to repair the blepharoplasty. It has successfully restored the shape of eyelid, restored the symmetry of double folds, reduced the height of double folds, effectively prevented the recurrence of abnormal adhesion, and achieved good repair effect in function, anatomy and shape recovery after operation.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R779.6

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