重睑成形术后不良重睑修复的策略探讨  

Strategy of repair of dissatisfied double eyelid after Asian blepharoplasty

作　　者：叶子兴 黄渭清[1] YE Zi-xing, HUANG Wei-qing.(Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730, Chin)

机构地区：[1]中国医学科学院北京协和医院整形外科,北京100730

出　　处：《中国美容整形外科杂志》2018年第5期262-264,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探索重睑成形术后不良重睑的修复策略。方法总结自2012年9月至2017年5月于外院行重睑成形术后出现多重睑、重睑消失或双侧重睑不对称的不良重睑病例103例,分析产生原因并加以修复。结果本组103例患者中,2例术后仍存在轻度双侧重睑不对称,其中1例经额肌瓣悬吊术后获得满意疗效,另1例患者仍在随访中;其余101例患者术后均获得满意效果。结论对不良重睑的矫正,首先依赖对重睑成形术机制和不良重睑形成原因的深刻理解;其次,制定正确的手术策略,包括松解前次手术形成的粘连,尽量恢复眼睑原有的解剖结构,根据不良重睑形成的原因进行相应的矫正,并将重睑线重新固定于睑板上理想的位置等也是不良重睑矫正的关键。Objective To explore strategies for revision of Asian blepharoplasty. Methods From 2012 to 2017, 103 patients dissatisfied with their double eyelid surgeries were admitted to our hospital for repair of flaws, including multiple creases, loss of double eyelid, and asymmetric double eyelid. The causes of patient dissatisfaction with double eyelid surgery were analyzed. Results Of the103 patients, 2 cases still had mild bilateral axillary asymmetry postoperatively. One of these cases obtained satisfactory results after frontalis suspension, and the other patient was still in follow-up. The remaining 101 patients all had satisfactory results after operation.Conclusion Repair of an unsatisfactory double eyelid is based on a better understanding of the mechanisms of surgery and the formation of the double eyelid. Creating a proper surgical strategy is also a very key point in tackling these situations. Surgical restoration includes release of the adhesion from the former operation, restoration of the normal anatomy of the eyelid, correction of the unsatisfactory double eyelid based on the specific reason as well as fixation of the incision line on the ideal position of the supratarsal area.

关 键 词：重睑成形术 不良重睑 多重睑 重睑消失 重睑不对称 

分 类 号：R779.6[医药卫生—眼科]