带线锚钉软组织悬吊骨锚定技术在医源性下睑异位治疗中的应用  

The application of suture anchor technique in postblepharoplasty lower eyelid malposition treatment

作　　者：李涵博 赵延勇 Li Hanbo;Zhao Yanyong(Ear Reconstruction Center,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院耳再造中心,北京100144

出　　处：《中华整形外科杂志》2022年第8期892-898,共7页Chinese Journal of Plastic Surgery

摘　　要：目的探讨带线锚钉软组织悬吊骨锚定技术在医源性下睑异位治疗中的临床效果。方法回顾分析中国医学科学院整形外科医院2017年9月至2021年1月治疗的外路法眼袋整复术后所致下睑退缩或外翻病例资料。所有患者均在局麻下利用带线锚钉软组织悬吊骨锚定技术进行下睑眼轮匝肌肌皮瓣的眶骨内骨锚定矫治下睑异位。术后对矫治效果和并发症情况进行随访。结果共纳入47例患者(64只眼),年龄27~61岁,平均43岁;包括下睑退缩11例(12只眼),下睑外翻36例(52只眼);其中首次接受治疗的患者37例,多次治疗患者10例。患者均顺利完成手术,随访6~24个月,其中46例(63只眼,98.4%)术后下睑位置正常,形态良好,无明显异位、外翻畸形及眼睑闭合不全,手术效果满意;1例(1只眼,1.6%)术后锚定区域感染,经处理后感染被控制,伤口愈合,下睑异位得到改善,形态满意,未见复发。结论带线锚钉软组织悬吊骨锚定技术是矫正医源性下睑异位的良好方法,该法微创、安全且效果显著,提供美观和稳定的长期效果。Objective To introduce a suture anchor technique and its outcomes in the repair of lower eyelid malposition caused by previous blepharoplasty.Methods Patients with lower eyelid malposition treated with this technique in Plastic Surgery Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College from September 2017 to January 2021 were enrolled.This series included patients with lower eyelid malposition caused by lower blepharoplasty,with or without revision surgery.The suture anchor technique was used to suspend the orbicularis oculi musculocutaneous flap under local infiltrative anesthesia with all patients.Results A total of 47 patients(64 eyes)were enrolled in this study,including 11 lower eyelid retraction cases(12 eyes)and 36 ectropion cases(52 eyes).The age range was 27 to 61 years(average:43 years).Thirty-seven patients had their revision surgery for the first time and 10 patients had their second operation more than once.Patients were followed up for 6-24 months.Forty-six patients(63 eyes,98.4%)shown normal lower eyelid position with satisfied shape,without obvious ectopia,valgus deformity or eyelid exposure.One patient(1 eye,1.6%)of postoperative anchored area infection was controlled after drainage and dressing changes.The surgical incisions were healed,and the lower eyelid malposition was improved with patient’s satisfactory.No recurrence was observed.Conclusions The absorbable suture anchor technique is an effective,minimally invasive,and safe method for correcting post-blepharoplasty lower eyelid malposition.

关 键 词：眼睑成形术 下睑异位 下睑退缩 下睑外翻 带线锚钉 

分 类 号：R779.6[医药卫生—眼科]