五点式眶隔法全切重睑术的临床应用  

Clinical Application of Double Eyelid Surgery with Five-Point Suture of Orbital Septum Technique

作　　者：隋朝阳 王彦进[1] 陈振雨[1] 

机构地区：[1]青岛大学附属医院美容整形外科,山东 青岛

出　　处：《临床医学进展》2022年第12期11219-11224,共6页Advances in Clinical Medicine

摘　　要：目的:提出一种五点式眶隔法全切的新式重睑术,来获得自然、流畅、稳固又无需过长恢复期的重睑。方法:回顾性分析2020年11月至2022年7月至青岛大学附属医院美容整形外科应用五点式眶隔法行全切重睑术的求美者。术中打开眶隔并去除切口下唇部分眼轮匝肌,在五个缝合点位将翻转的眶隔后壁与皮肤缝合。术后1月及6月随访患者统计满意度,评估重睑流畅性,下唇皮肤平整性,切口有无凹陷,重睑是否变浅消失,是否出现瘢痕增生等相关并发症。结果:共纳入260例求美者,其中女性220例,男性40例,年龄均在18~40岁,平均年龄26.8岁。所有病例切口均一期愈合,未出现感染、瘢痕增生、闭眼功能障碍等并发症。手术252例(97%)在术后1月时满意;8例(3%)不满意。250例(95.6%)在术后6月时满意;10例不满意(4.4%):6例重睑变窄或脱落;3例双侧重睑不对称;1例重睑形态不自然。满意患者睁眼重睑形态自然、对称,无明显淤血肿胀,下唇皮肤未出现“肉条感”,闭眼皮肤平整,切口无凹陷。结论:五点式眶隔法全切重睑术接近生理性重睑结构,术式简单易行,形成重睑自然、稳固且恢复期短,具有良好的临床应用效果。Objective: In order to obtain natural, smooth and stable double eyelids without too long recovery period, a new method of double eyelid with five-point suture of orbital septum technique was proposed. Methods: From November 2020 to July 2022, patients who received double eyelid sur-gery with five-point suture of orbital septum technique in plastic surgery department of Qingdao university affiliated hospital were retrospectively analyzed. During the operation, the orbital septum was opened and part of the orbicularis oculi muscle under the incision was removed. The orbital septum was overturned and sutured with skin of five points. The patients were followed up 1 month and 6 months after the operation to evaluate satisfaction, the fluency of the double eyelid, the flatness of skin, the indentation of the incision, the shallowness of the double eyelid and the appearance of scar hyperplasia or other related complications. Results: A retrospective review of 260 patients (40 males and 220 females, aged from 18 to 40 which average is 26.8) who had un-dergone double eyelid surgery with five-point suture of orbital septum technique were collected. All incisions of were healed without complications such as infection, scar hyperplasia and eye closing dysfunction. At the follow-up of 1-month past-surgery, 252 cases (97%) and 8 cases (3%) were regarded as satisfied and dissatisfied. At the follow-up of 6-month past-surgery, 250 cases (95.6%) and 10 cases (4.4%) were regarded as satisfied and dissatisfied. There were 6 cases of double eyelid disappearance, 3 cases of asymmetry, 1 case of irregularity. But in most patients, the form of the double eyelid is natural and symmetrical, with no obvious hematoma and swelling, the skin of the upper eyelid does not appear so called “sausage” phenomena, the skin with closed eyes is smooth, and the incision is not sunken. Conclusion: Double eyelid surgery with five-point suture of orbital septum technique is close to the physiologic double eyelid structure. This operation method is s

关 键 词：眼睑成形术 切开法 眼轮匝肌 眼眶 

分 类 号：R779.6[医药卫生—眼科]