应用解剖复位理念修复重睑术后过宽畸形的临床效果观察  

Clinical Observation on the Application of Anatomical Reduction Concept in Repairing Overwidth Deformities After Double Eyelid Surgery

作　　者：安翔 冷向锋[1] AN Xiang;LENG Xiang-feng(Department of Plastic Surgery,Affiliated Hospital of Qingdao University,Shandong Province,266075,China)

机构地区：[1]青岛大学附属医院整形外科,山东青岛266075

出　　处：《中国医疗美容》2024年第5期9-11,共3页China Medical Cosmetology

摘　　要：目的观察应用解剖复位理念修复重睑术后过宽畸形的临床效果。方法自2020年1月至2022年8月,对我院34例(57只眼)重睑术后形态过宽患者,通过重新设计重睑切口线,应用解剖复位理念利用新切口线上方皮肤、瘢痕眼轮匝肌复合组织瓣及眶隔脂肪(或Roof)进行重睑修复。结果术后随访12个月,34例患者术后重睑自然、流畅,基本对称,原切口痕迹淡化,无多重睑,无闭合不全等并发症;仅2例患者因重睑嫌窄,半年后再次修复,最后对结果均满意。结论解剖复位理念对重睑术后过宽畸形病例的修复具有较好的指导作用。Objective To observe the clinical effect of applying anatomical reduction concept to repair excessive width deformity after double eyelid surgery.Methods From January 2020 to August 2022,34 patients(57 eyes)with postoperative widened double eyelid surgery in our hospital were treated with double eyelid reconstruction by redesigning the double eyelid incision line and applying the anatomical reductionconcept,using the skin above the new incision line,scar orbicularis oculi muscle composite tissue flflap,and orbital septum fat(or Roof)for double eyelid repair.Result After 12 months of postoperative follow-up,34 patients had natural and smooth double eyelids,which were basically symmetrical.The original incision marks were faded,and there were no complications such as multiple eyelids or incomplete closure;Only 2 patients were found to have narrow double eyelids,which were repaired six months later,and the results were satisfactory.Conclusion The concept of anatomical reduction has a good guiding role in the repair of cases of excessive width deformity after double eyelid surgery.

关 键 词：重睑过宽 解剖复位 重睑修复 

分 类 号：R779.6[医药卫生—眼科]