摘要
目的探讨重睑术致重睑过宽的修复要点与临床效果.方法2015年9月至2018年3月,佛山市顺德贝尔美美容医院美容外科对28例女性患者(年龄27~48岁,平均35岁)不满意重睑术后过宽的重睑宽度进行测量,宽度6.5~12.0 mm,平均8.59 mm.单纯性重睑过宽的修复方法主要是粘连松解,降低宽度.复杂性重睑过宽的修复方法包块粘连松解降低宽度,同时行脂肪移植填充或眶隔脂肪转移或上睑提肌缩短或上睑提肌腱膜前徙固定术或上睑退缩矫正术等.结果28例重睑过宽修复后,重睑宽度明显变窄,重睑自然度、对称性、上睑凹陷、角膜暴露率明显改善.26例效果满意,1例皮肤薄、弹性差、效果欠佳;1例自觉重睑偏窄,要求调宽.结论明确重睑过宽临床特征对确定手术方案、手术项目、术前与患者沟通以及咨询有参考意义.
Objective To investigate the key points of reparation and clinical effects of the over wide eyelid fold after double eyelid plasty.Methods The widths of double eyelids were measured for 28 patients who were unsatisfied with their over-wide double eyelids even after surgery.The maxi-mum width was 12 mm,the minimum width was 6.5 mm,with average of 8.59 mm.The major re-pair methods of simply over-wide double eyelids were used to release adhesion and reduce the width.The repair methods of complexly over-double eyelids were to release adhesion,and to reduce the width;at the same time,fat transplantation and filling,orbital septal fat transfer,shortening of leva-tor palpebrae superioris muscle,anterior fixation of levator palpebrae superioris muscle aponeurosis or correction of upper eyelid retraction should be also performed.Results After the over-wide double eyelids were repaired,the width of double eyelids was obviously reduced;the double eyelids were more natural and asymmetrical.The upper eyelid was no longer sunk and the cornea exposure rate was greatly improved.26 patients were satisfied with their surgical results.One patient was dissatisfied with the surgical result affected by the skin which was thin and not elastic.One patient required doc-tors to get the eyelids slight wider.Conclusions It is of referential significance to define the clinical characteristics and major shortcomings of over-wide double eyelid for determining surgical plan,surgi-cal items,consultation and preoperative communication with patients.
作者
侯文明
宗利丽
王玉凤
吴丹
Hou Wenming;Zong Lili;Wang Yufeng;Wu Dan(Shunde Baremeii Medical Beauty Hospital,Foshan 528303,China;Centre of Women and Chil-dren,the First Affiliated Hospilal,Guangzhou Unirversity of Chinese Medicine,Guangzhou 510405,China;Department of Gynecology and Obstetrics,Guangzhou Red Cross Hospital,Guan-gzhou 510220,China)
出处
《中华医学美学美容杂志》
2020年第2期113-116,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
修复外科手术
重睑术
重睑过宽
重睑修复
Reconstructive surgical procedures
Double eyelid operation
Double eyelid o-ver width
Double eyelid repair
