外眦三角瓣组织旋转推进法外眦开大术的临床应用  

Clinical Application of Lateral Canthoplasty by Rotating the Triangular Flap of Lateral Canthus

作　　者：张俊辉 王琪影[1] 苑田田 海南 吕安琪 ZHANG Jun-hui;WANG Qi-ying;YUAN Tian-tian;HAI Nan;LV An-qi(Department of Plastic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院整形外科

出　　处：《中国美容医学》2020年第1期5-7,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨外眦三角瓣组织旋转推进法外眦开大术的临床应用效果。方法:在外眦区设计三角形旋转皮瓣,充分游离三角皮瓣皮下组织,切断外眦韧带浅层,使外眦在无或微张力下旋转外移,将皮瓣下组织与眶骨骨膜固定,缝合表皮,达到开大外眦的目的。结果:7例因不同原因需行外眦开大的患者均取得满意效果,平均延长外眦睑裂3mm,且术后随访未见明显回退及瘢痕,无外眦粘连。结论:外眦三角瓣组织旋转推进法外眦开大术是一种设计简单,效果确切的外眦开大方法,值得临床推广应用。Objective To explore the clinical effect of lateral canthus enlargement with the method of lateral canthus triangle flap tissue rotation and advancement.Methods Design a triangular rotary-propulsion flap in the lateral canthus,fully seprate the subcutaneous tissue of the triangular rotary-propulsion flap,cut off the superficial layer of the external palpebral ligament,rotate and propulse the flap,fix the subcutaneous tissue with the periosteum of the orbital bone,suture the epidermis,so as to achieve the purpose of extending the lateral canthus.Results 7 cases have achieved excellent results after operation with an everage extension of 3mm,and there was not obvious retreat,scar or external adhesion after follow-up.Conclusion Rotary-propulsion triangle flap is a simple and effective method of lateral canthoplasty,which is worthy for clinical application.

关 键 词：眼部整形 外眦成形术 小睑裂 旋转推进皮瓣 上睑下垂 

分 类 号：R622[医药卫生—整形外科]