眉下切口上睑提升术联合眶周眼轮匝肌处理治疗上睑皮肤松弛的效果  

Clinical effect of upper eyelid lifting combined with orbicularis oculi muscle treatment by subbrow incision for upper eyelid skin relaxation

作　　者：董勇[1] 李文志[1] 林煌[1] 陈辛亮[1] Dong Yong;Li Wenzhi;Lin Huang;Chen Xinliang(Department of Plastic Surgery and Laser Medicine,Beijing Anzhen Hospital of Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院整形美容和激光医学科,北京100029

出　　处：《中华医学美学美容杂志》2024年第3期282-285,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨提眉术联合眶周眼轮匝肌处理治疗上睑皮肤松弛的效果。方法2017年2月至2022年6月,北京安贞医院整形美容和激光医学科对上睑皮肤松弛女性患者52例,年龄38~64(43.2±5.0)岁。行眉下切口眉提升术,去除多余皮肤及眼轮匝肌,离断眶周外侧部分眼轮匝肌,同时将切口下缘眼轮匝肌悬吊固定于眶上缘骨膜。结果术后随访6个月至1年,52例患者上睑松弛及鱼尾纹均得到明显改善,眉未出现明显下移,手术效果满意。结论提眉术联合眶周眼轮匝肌处理可有效改善上睑皮肤松弛患者的皮肤松弛和鱼尾纹,值得临床应用。Objective To explore the application effect of eyebrow lift combined with periorbital muscle manipulatation in the treatment of upper eyelid skin relaxation.Methods From February 2017 to June 2022,a total of 52 female patients with upper eyelid skin laxity aged 38-64(43.2±5.0)years,admitted to the Department of Plastic Surgery and Laser Medicine,Beijing Anzhen Hospital were selected for treatment in eyebrow lift with sub-brow excision,removed excess skin and orbicularis oculi muscle,and cut off part of periorbital muscle,and the orbicularis orbicularis muscle at the lower edge of the incision was suspend and fixed to the periosteum of supraorbital margin.Results After following up from 6 months to 1 year after surgery,the upper eyelid slack and crow′s feet of 52 patients were improved significantly,no obvious downward movement appeared in the eyebrows,and the surgical effect was satisfied.Conclusions The treatment of upper eyelid skin relaxation in eyebrow lift combined with periorbital muscle manipulatation can significantly improve the upper eyelid slack and crow′s feet,and it is worthy of clinical application.

关 键 词：眼睑 上睑皮肤松弛 提眉术 眉下切口 眼轮匝肌 鱼尾纹 

分 类 号：R62[医药卫生—整形外科]