Park法和内眦韧带缩短与重睑同期矫正内眦赘皮的疗效

发布时间：2018-04-23 13:57

本文选题：Park法 + 内眦赘皮　；参考：《大连医科大学》2010年硕士论文

【摘要】： 目的：内眦赘皮又称为蒙古皱襞,在亚洲人群中发生率为50%左右,在单睑人群中发生率超过70%。因此内眦赘皮矫正术是一种常见的美容手术。内眦赘皮的存在缩短了睑裂的长度,不符合面部的美学标准,重度内眦赘皮甚至遮挡了部分视野。很多手术医生由于害怕造成明显的内眦瘢痕而不敢开展这项手术。我们采用Park法,内眦韧带缩短和重睑术同期进行。通过临床验证,此方法对所有类型内眦赘皮矫正效果满意。方法：自2007年到2009年收治内眦赘皮患者125例,其中上睑型48例,共96侧,睑板型52例,共104侧,下睑型25例,共50侧,年龄20-40岁,平均年龄为30岁。我们根据设计线切开皮肤,去除适量的皮肤,充分分离赘皮处皮肤与眼轮匝肌之间的联系,彻底去除错位的眼轮匝肌,分离暴露内眦韧带,将内眦韧带褥式缝合于鼻侧腱膜,使泪阜显露适中,然后皮瓣转位缝合。结果：经过对125例患者电话随访4-6个月显示：125例患者泪阜显露适中,内眦间距变窄,重睑线与内眦切口处衔接自然。内眦部早期有轻微瘢痕增生,于5-6月时变成淡白色,效果明显,患者感到满意。结论：切开重睑术与内眦赘皮矫正术同时进行,一次设计使得内眦部二者衔接自然,重睑弧度圆润；去除错位的眼轮匝肌,从根本上解除了内眦赘皮的成因；内眦韧带深层固定更有效降低了赘皮的复发率,减小了切口的张力,减轻瘢痕的形成。适用于所有类型内眦赘皮。
[Abstract]:Objective: the incidence of epicanthus, also called Mongolian fold, is about 50% in Asian population and more than 70% in single eyelid population. Therefore, epicanthus correction is a common cosmetic surgery. The presence of epicanthus shortens the length of palpebral fissure and does not meet the aesthetic standards of the face. Many surgeons are too afraid to perform the operation for fear of causing visible inner canthus scars. We used Park method, the medial canthus ligament shortening and double eyelid operation performed simultaneously. Through clinical verification, this method is satisfactory for all types of epicanthus correction. Methods: from 2007 to 2009, 125 cases of epicanthus were treated, including 48 cases of upper eyelid type (96 sides), 52 cases of tarsal plate type (104 sides) and 25 cases of lower eyelid type (50 sides). The average age was 30 years old. According to the design line, we cut open the skin, remove the proper amount of skin, fully separate the connection between the skin and the orbicularis oculi muscle, completely remove the misaligned orbicularis oculi muscle, separate the exposed medial canthus ligament, and suture the inner canthus ligament in the aponeurosis of the nasal side. Expose the lacrimal caruncle moderately, then the flap is transposed and sutured. Results: 125 patients were followed up by telephone for 4 to 6 months. The results showed that the lacrimal caruncle of 125 cases was moderate, the distance between the inner canthus became narrow, and the double eyelid line connected naturally with the incision of the inner canthus. The medial canthus had slight scar hyperplasia in the early stage and became light white in May and June. The effect was obvious and the patient was satisfied. Conclusion: double eyelid incision and epicanthus correction are performed at the same time, one design makes the inner canthus join naturally, the double eyelid arc is smooth, remove the misplaced orbicularis oculi muscle, and fundamentally remove the cause of the epicanthus epicanthus. The deep fixation of medial canthus ligament can reduce the recurrence rate of epicanthus, reduce the tension of incision and reduce the formation of scar. Suitable for all types of epicanthus.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R779.6

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