摘要
目的:探讨利用眶下软组织提升技术解决睑袋术后并发症的有效治疗手段。方法:原下睑袋切口入路;保留睑缘下5mm眼轮匝肌;眶隔浅层向下剥离至眶骨缘;外侧颧突处骨膜下适当剥离;递进式向上提升眶区软组织;提升后的眼轮匝肌折叠并固定在睑下缘;如提升皮肤较多可以适量去除;缝合切口,术后加压包扎72h。结果:本组50例不同程度的睑缘退缩、下睑露白症状均得到明显改善,下睑凹陷也有明显矫正;5例睑袋术后填充其他材料的患者经修复治疗后都比较满意;1例修复4次后的外翻病例改善不理想,考虑是反复眼轮匝肌的损伤后肌肉与后壁的粘连而致,该病例拒绝再次修复。结论:因脂肪、肌肉、皮肤组织被过多去除的失败睑袋症状通过眶下软组织提升修复的效果肯定,并发症较少,成功率高。
Objective To discuss the solutions to solve the problems such as the lower eyelid shrinks even ectropion after the operation through mid-face lifting and other methods to treat complications. Methods The operations were performed by incisions in the eye bags.Then retain 5mm orbicular is oculi muscle,dissect the superficial layer of the orbital septum to the bone,strip under the periosteum of zygomatic processes and progressively promote sagging organization.In addition,lift,fold, and fix the orbicular is oculi.lf there is excess skin,it can be appropriate to remove.Finally,suture the incision, and use compression bandage for 72 hours. Results Fifty cases were improved significantly. Symptoms such as the retraction of eyelid,the hollow of the lower eyelid and so on were improved evidently. Five patients whose eye bags were filled with other materials after the operation are satisfied with the recovery treatment.One patient＇s-ectropion wasn＇t improved ideally after four times＇ repayments.The reason may be the injury of the orbicularis oculi muscle contributes to the adhesion of back muscles and back wall. But this patient refused to repair again. Conclusions Positive effects are achieved during the repairmen of mid-face lifting which effectively recover the failed eye bags resulting from too much remove of fat,muscle and skin. Besides it has less complications and high success ratio.
出处
《中国美容医学》
CAS
2013年第15期1588-1590,共3页
Chinese Journal of Aesthetic Medicine
关键词
下睑袋修复术
并发症
外眦锚着
中面部提升
修复
ower eyelid blepharoplasty
complication
lateral canthus anchor
mid-face lifting
repair
