眶缘多点骨钻孔固定中面部提升在辅助矫正下睑成形术后重度下睑异位中的应用  

Application of mid-face lift via orbital rim multi-point bone drilling fixation in the auxiliary correction of severe lower eyelid malposition after lower eyelid blepharoplasty

作　　者：李璐 徐菲 李文琳 邱志华 吴洪伟 杨超 邢新 LI Lu;XU Fei;LI Wenlin;QIU Zhihua;WU Hongwei;YANG Chao;XING Xin(Department of Burn and Plastic Surgery,Naval Medical Center of PLA,Shanghai 200052,China)

机构地区：[1]海军特色医学中心烧伤整形外科,上海200052 [2]上海生命树医疗美容门诊部,上海200335

出　　处：《中国美容整形外科杂志》2022年第5期265-268,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探究眶缘多点骨钻孔固定中面部提升在辅助矫正下睑成形术后重度下睑异位的效果。方法自2019年1月至2021年9月,海军特色医学中心烧伤整形外科对20例下睑成形术后重度下睑异位以及多次修复失败的患者,采用眶下缘多点骨钻孔中面提升固定同时行外眦锚着术治疗。结果所有患者均顺利完成手术,术后随访3~24个月。14例术后下睑位置恢复正常,形态和外观良好,手术效果满意;6例术后下睑位置虽有改善,但仍有轻度下睑退缩,其中2例未再次手术修复,其余4例再次行外眦锚着术修复,术后下睑位置均恢复。无面部肿胀、麻木等。结论眶缘多点骨钻孔固定中面部提升可以获得垂直方向上较稳定的悬吊力量,对矫正下睑成形术后重度下睑异位具有显著的辅助作用。Objective To investigate the efficacy of mid-face lift via orbital rim multi-point bone drilling fixation in the auxiliary correction of severe lower eyelid malposition after lower eyelid blepharoplasty.Methods From January 2019 to September 2021,20 patients with severe lower eyelid malposition after lower eyelid blepharoplasty and multiple repair failure were selected.All patients underwent mid-face lift via orbital rim multi-point bone drilling fixation and lateral canthal anchoring.Results All patients completed the operation successfully and were followed up for 3 to 24 months.The lower eyelid position returned to normal in 14 patients,the shape and appearance of lower eyelid was good,and the efficacy was satisfactory.Although the position of lower eyelid was improved in 6 patients,there was still mild retraction of the lower eyelid.Two patients were not repaired again,and the remaining 4 patients were repaired by lateral canthal anchoring again.The position of lower eyelid recovered after operation.No adverse events such as facial swelling and numbness occurred.Conclusion The stable hanging force in vertical direction can be obtained by mid-face lift via orbital rim multi-point bone drilling fixation.This method can play an auxiliary role in the correction of severe postoperative lower eyelid malposition.

关 键 词：下睑异位 外眦锚着术 中面部提升 眶缘骨钻孔 

分 类 号：R779.6[医药卫生—眼科]