摘要
目的为了预防和降低下睑袋整形术后睑退缩和睑外翻等并发症的发生。方法我们自1991年以来,采用睑板提紧术(The tarsal tuck procedure)的方法。结果可以拉紧及稳定下睑,取得了预期的效果。结论大多数睑袋(除原发性睑袋外)发生的病理解剖基础是下睑支持结构的退行性变,致下睑及外眦松弛下移,这是造成术后睑退缩和睑外翻的基本潜伏因素。通过临床实践,我们认为睑板提紧术是针对这一病理改变所进行的手术设计,确认可靠有效,值得推广。
Objective To prevent or decrease eyelid retraction and ectropion following lower eyelid blepharoplasty.Methods The tarsal tuck procedure was performed during lower eyelid blepharoplasty to tighten the lower eyelid.This method had been used since 1991.Results After the operation,the lower eyelid was tensional and steady.The complications of eyelid retraction and ectropion were diminished. Conclusion The pathologic basis of the eyelid bag is that the supporting tissues become lax so that the lower eyelid and lateral canthus move downwards.The exact aim of the tarsal tuck procedure is to correct these pathologic changes.
关键词
睑板提紧术
睑退缩
睑外翻
睑成形术
Tarsal tuck
Eyelid retraction
Ectropion
Blepharoplasty
