眶隔筋膜前徙矫正轻度上睑下垂的效果  

Clinical application of orbital septal fascial advancement in double eyelid plasty with slight ptosis

作　　者：钟俊波[1] 李正勇[2] 张斌斌 王仁俊[1] 何建霖 Zhong Junbo;Li Zhengyong;Zhang Binbin;Wang Renjun;He Jianlin(Department of Burn and Plastic Sungery,the Fourth People's Hospital of Zigong,Zigong 643000,China)

机构地区：[1]自贡市第四人民医院烧伤整形美容外科,自贡643000 [2]四川大学华西医院美容整形烧伤科,成都610000

出　　处：《中华医学美学美容杂志》2024年第5期512-515,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨眶隔筋膜前徙法在矫正轻度上睑下垂中的临床效果。方法2016年12月至2020年1月,自贡市第四人民医院烧伤整形美容外科收治伴轻度先天性上睑下垂的重睑患者56例(77眼)。采用眶隔筋膜前徙法矫正,行重睑成形术时打开眶隔,保留切口下唇返折处2 mm眶隔筋膜。将切开的眶隔筋膜下唇向下牵拉至睑板中上份暴露处,用5-0尼龙线缝合固定3针于睑板上,适当调整矫正轻度上睑下垂。结果随访6~12个月,平均7.4个月,随访40例共56眼。上睑下垂矫正满意46眼(82.1%);矫正基本满意8眼(14.3%);不满意2眼(3.6%)。重睑成形术满意45眼(80.4%);基本满意7眼(12.5%);不满意4眼(7.1%)。术后无重睑皱襞消失,未出现闭合不全、结膜脱垂、暴露性角膜炎等并发症。结论眶隔筋膜前徙法用于轻度上睑下垂矫正效果较好,重建结构稳定,外观自然,患者恢复较快,满意度高。ObjectiveTo investigate the clinical effect of orbital septal fascia advancement in the correction of mild blepharoptosis.MethodsFrom December 2016 to January 2020,a total of 77 eyes of 56 patients with mild congenital ptosis who underwent double eyelid surgery were treated.The method of orbital septal fascia advancement was used to correct mild ptosis.Specifically,during double eyelid reconstruction,the orbital septum was opened and the orbital septal fascia about 2 mm in front of the fold was preserved.The posterior lip of the orbital septal fascia was pulled down to the upper part of the tarsal plate,and fixed on the tarsal plate with 3 stitches of 5-0 nylon suture,and appropriate adjustments were made to correct mild ptosis.ResultsPatients(56 eyes of 40 cases)were followed up from 6 to 12 months(average 7.4 months),46 eyes(82.1%)were satisfied with blepharoptosis correction,8 eyes(14.3%)were basically satisfied with blepharoptosis correction,and 2 eyes(3.6%)were dissatisfied with blepharoptosis correction.45 eyes(80.4%)were satisfied with blepharoplasty,7 eyes(12.5%)were basically satisfied with blepharoplasty,and 4 eyes(7.1%)were dissatisfied with blepharoplasty.No double eyelid folds disappeared after surgery,and there were no complications such as incomplete closure,conjunctival prolapse,or exposed keratitis.ConclusionsThe correction effect of blepharoptosis is good,and the reconstruction structure is stable with natural appearance,fast recovery and high satisfaction.Therefore,the method can be popularized.

关 键 词：上睑下垂 重睑成形术 眶隔筋膜 前徙术 

分 类 号：R622[医药卫生—整形外科]