首页|眼轮匝肌-提上睑肌腱膜与真皮眼轮匝肌瓣用于重睑术中的效果

眼轮匝肌-提上睑肌腱膜与真皮眼轮匝肌瓣用于重睑术中的效果

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目的 探究眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术应用价值.方法 选择2021年1月~2023年 12 月 96 例需重睑术患者为研究者,均给予眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术,分析比较美学效果、术后并发症以及患者满意度.结果 术后1个月、术后3个月患者瘢痕状况、重睑形态与术后7d比较均更低(P<0.05);术后有 1 例患者发生重睑褶皱不对称,2 例患者发生肉条/阶梯感,发生率为 3.12%;术后 3 个月经调查切口甲级愈合率为97.92%,患者满意度为95.83%.结论 眼轮匝肌-提上睑肌腱膜复合真皮眼轮匝肌复合瓣内固定重睑术可降低并发症发生概率,改善美学效果,提高切口甲级愈合率及患者满意度,值得推广.
The effect of using the orbicularis oculi muscle levator palpebralis aponeurosis and dermal orbicularis oculi muscle flap in double eyelid surgery
Objective Exploring the application value of the composite flap of orbicularis oculi muscle levator palpebrae aponeurosis and dermal orbicularis oculi muscle for internal fixation of double eyelids.Methods A total of 96 patients who underwent double eyelid surgery from January 2021 to December 2023 were selected as the researchers.All patients underwent double eyelid surgery with the combination of orbicularis oculi muscle levator palpebralis aponeurosis and dermal orbicularis oculi muscle composite flap.The aesthetic effects,postoperative complications,and patient satisfaction were analyzed and compared.Results The scar condition and double eyelid morphology of patients were lower at 1 month and 3 months after surgery compared to 7 days after surgery(P<0.05);After surgery,one patient developed asymmetrical double eyelid folds,and two patients developed a sensation of flesh streaks/stairs,with an incidence rate of 3.12%;The grade A healing rate of the incision was 97.92%and the patient satisfaction rate was 95.83%after 3 menstrual surveys after surgery.Conclusion The internal fixation of double eyelids using the composite flap of the orbicularis oculi muscle levator palpebrae aponeurosis and dermis orbicularis oculi muscle can reduce the probability of complications,improve aesthetic effects,increase the rate of incision grade A healing and patient satisfaction,and is worthy of promotion.

orbicularis oculi muscleLevator palpebralis aponeurosisDermal orbicularis oculi muscleComposite valveInternal fixation double eyelid surgeryAesthetic effectSatisfaction

汪翠梅、梁红伟、陶冶、王剑

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郑州人民医整形外科,河南郑州,450003

眼轮匝肌 提上睑肌腱膜 真皮眼轮匝肌 复合瓣 内固定重睑术 美学效果 满意度

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(5)
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