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下睑美容手术后球结膜水肿的综合治疗
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作者 Adam B.Weinfeld Renee Burke mark a.codner 《中国美容整形外科杂志》 CAS 2012年第9期I0020-I0020,共1页
背景与目的下睑手术后球结膜水肿可致持久性的不适及恶化。本文将关注由下睑美容手术引起的球结膜水肿。其病因是由多方面因素引起的,包括结膜外露、眶周水肿及术后淋巴回流障碍。方法对312例首次行经皮入路双侧下睑成形术患者的临床... 背景与目的下睑手术后球结膜水肿可致持久性的不适及恶化。本文将关注由下睑美容手术引起的球结膜水肿。其病因是由多方面因素引起的,包括结膜外露、眶周水肿及术后淋巴回流障碍。方法对312例首次行经皮入路双侧下睑成形术患者的临床资料列表进行分析。收集数据以确定球结膜水肿的发病率,确定致病因素,建立一种球结膜水肿程度分级,并总结一种有效的治疗方案。结果本组下睑成形术患者中发生球结膜水肿的发病率为11.5%。球结膜水肿症状表现出现在术中或术后l周。发病周期为1~12周,其中位数是4周。相关致病原因包括结膜外露、眶周及面部水肿、淋巴回流障碍。其程度分为4种类型:1型,急性轻微的球结膜水肿伴睑外露;2型,急性重度的球结膜水肿伴睑完全外露(球结膜水肿引起的睑闭合不全、兔眼);3型,亚慢性的球结膜水肿,持续期超过3周;4型,球结膜水肿伴下睑位置不佳。有效的治疗方法包括持续对眼部应用类固醇进行润滑,应用减充血剂来辅助结膜引流及临时睑裂缝合术等外科治疗。本组所有患者的球结膜水肿最终都得到了解决。结论球结膜水肿是下睑成形术的常见并发症。在对其进行治疗时,药物学疗法、理疗、外科疗法可单独或联合应用。尽可能减少触发其术中和术后即刻致病因素是非常重要的。 展开更多
关键词 球结膜水肿 下睑成形术 综合治疗 美容手术 手术后 淋巴回流障碍 致病因素 联合应用
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Evaluation and management of acquired ptosis
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作者 Stephanie E.Farber mark a.codner 《Plastic and Aesthetic Research》 2020年第4期40-62,共23页
Periorbital rejuvenation is a common aesthetic goal sought by patients presenting to the plastic or oculoplastic surgeon.For this reason,it is critical that the surgeon understand the functional considerations,such as... Periorbital rejuvenation is a common aesthetic goal sought by patients presenting to the plastic or oculoplastic surgeon.For this reason,it is critical that the surgeon understand the functional considerations,such as preexisting blepharoptosis,which will contribute to the ultimate aesthetic outcome.This article will review the anatomy of the normal and ptotic lid and will discuss the approach to diagnosing and characterizing the type and degree of lid ptosis.High-yield surgical techniques for ptosis correction will then be described,including the indications for and steps of each procedure.Finally,the diagnosis and management of common complications that follow ptosis surgery will be discussed.Our main objective is to arm the surgeon with the preoperative and operative planning tools to successfully manage comorbid ptosis and thereby improve blepharoplasty outcomes. 展开更多
关键词 Functional eyelid surgery eyelid ptosis acquired ptosis BLEPHAROPLASTY BLEPHAROPTOSIS periorbital rejuvenation
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