首页|利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术的临床效果观察

利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术的临床效果观察

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目的 探讨利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术的临床效果.方法 自 2022 年1 月至 2022 年 8 月,中国医学科学院整形外科医院面颈整形科对 96 例单睑患者行重睑成形术,将睑板前筋膜与切口上、下唇眼轮匝肌及下唇真皮组织缝合固定,关闭切口时再将上、下唇皮肤与睑板前筋膜间断缝合,加强固定.结果 96 例患者术后切口均一期愈合.术后获随访 3~16 个月,除 1 例单侧眼睑出现不平整的皱褶外,其余患者恢复较快,瘢痕不明显,重睑弧度流畅,形态自然.未出现感染、瘢痕增生及角膜损伤等并发症.结论 利用睑板前筋膜与上、下唇眼轮匝肌及下唇真皮缝合行重睑成形术有效地避免了重睑变浅或消失的不良效果,可获得效果稳定、自然美观的术后重睑形态.
Clinical observation of performing blepharoplasty by suturing the anterior tarsal plate aponeurosis,upper and lower lip of the orbicularis oculi muscle with the lower lip dermis
Objective To investigate the clinical results of the blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis.Methods From January 2022 to August 2022,a total of 96 patients with single eyelids underwent the method of blepharoplasty.The anterior tarsal plate aponeurosis was sutured and fixed to the orbicularis oculi muscle of the upper and lower lip and the dermal tissue of the lower lip at the incision,and the upper and lower lip skin was then intermittently sutured to the anterior tarsal plate aponeurosis to enhance fixation when the incision was closed.Results All 96 patients had primary wound healing after the operation,and the postoperative follow-up ranged from 3 to 16 months.Except for one pa-tient with an unnatural blepharoplasty fold,the rest of the patients had a rapid recovery,inconspicuous scarring,and a smooth,natural ble-pharoplasty arc.No complications such as infection,hypertrophic scarring,or corneal damage were observed.Conclusion Blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis effectively avoids the undesirable effect of shallowing or disappearing lids and results in a good postoperative blepharoplasty shape with natural aesthetics and stable results.

BlepharoplastyOrbicularis oculi muscleAnterior tarsal plateaponeurosis

王珏、赵思纯、赵鸣宇、周栩、王太玲、王佳琦、邹翀

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中国医学科学院整形外科医院 面颈整形科,北京 100043

重睑成形术 眼轮匝肌 睑板前筋膜

2024

中国美容整形外科杂志
中国医师协会 辽宁省人民医院 沈阳军区总医院

中国美容整形外科杂志

CSTPCD
影响因子:0.605
ISSN:1673-7040
年,卷(期):2024.35(1)
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