下睑外侧睑板条悬吊法在矫治中重度医源性外眦畸形中的应用  

Application of palpebral strip suspension on the outside of the lower eyelid for moderate to severe iatrogenic lateral canthal deformities

作　　者：魏星[1] 杨丽[1] 李钢[1] 刘月丽[1] 朱旭冉 刘平平[1] Wei Xing;Yang Li;Li Gang;Liu Yueli;Zhu Xuran;Liu Pingping(Department of Medical Cosmetology,Second Affiliated Hospital of Zhengzhou University,Zhemgzhou 450014,China)

机构地区：[1]郑州大学第二附属医院医疗美容科,450014

出　　处：《中华整形外科杂志》2021年第10期1168-1171,共4页Chinese Journal of Plastic Surgery

基　　金：河南省医学科技攻关计划项目(LHGJ20190323)。

摘　　要：目的探讨下睑外侧睑板条悬吊法在矫治中、重度医源性外眦畸形中的应用。方法选择2019年10月至2020年10月,郑州大学第二附属医院医疗美容科收治的因外眦成形术所致中、重度医源性外眦畸形患者,均行下睑外侧睑板条悬吊进行矫治。术后随访观察外眦形态、外眦角位置、睑裂大小、睑球分离等的改善情况。结果共纳入7例(14眼)因外眦成形术后所致中、重度医源性外眦畸形患者,均为女性,年龄23~48岁。本组7例外眦畸形完全矫正,恢复良好。患者术后获6~12个月随访,均手术效果良好,外眦形态及外眦角位置恢复正常、双侧睑裂大小对称、睑球分离改善,未发生眼睑畸形等严重并发症。结论下睑外侧睑板条悬吊法矫治中、重度医源性外眦畸形,手术操作简便,术后效果满意,并发症少。Objective To investigate the application of the palpebral strip suspension on the outer side of the lower eyelid for moderate-to-severe iatrogenic lateral canthal deformities.Methods From October 2019 to October 2020,patients with moderate to severe lateral canthal deformity caused by lateral canthoplasty were admitted to the Department of Medical Cosmetology of the Second Affiliated Hospital of Zhengzhou University.They received lateral tarsal sling suspension of the lower eyelid.The improvement in lateral canthus shape,lateral angle position,blepharophimosis size and the lid bulb separation was observed and analyzed.Results Seven female patients,aged from 23 to 48 years,with 14 eyes,were included.Complete correction of the canthal deformity was achieved in all the patients.During the follow-up period of more than 6 months,all patients had complete recovery of the external canthus shape and position,as well as symmetry of the bilateral lid fissure size,and improvement of the lid bulb separation without serious complications.Conclusions The palpebral strip suspension on the outer side of the lower eyelid for moderate-to-severe iatrogenic lateral canthal deformities is easy to perform,with satisfactory postoperative result and few complications.

关 键 词：外眦畸形 睑板条 悬吊 

分 类 号：R779.6[医药卫生—眼科]