应用眶隔筋膜瓣与额肌瓣治疗重度上睑下垂的美容学意义探讨
To explore a beautiful method of using orbital septum aponeurosis flap and frontal muscle flap to correct serious blepharoptosis
目的 探讨一种矫治重度上睑下垂的美容有效方法。 方法 术中制作一蒂在眶隔筋膜与提上睑肌结合部之上的眶隔筋膜瓣,在眉区分离额肌筋膜瓣,将额肌筋膜瓣插入眶隔筋膜与提上睑肌之间,三瓣重叠牢固缝合,悬吊上睑矫正上睑下垂。 结果 采用此法对12例12侧重度上睑下垂进行治疗,随访6~18个月,平均1年,其中, 10只眼睛满意,1只好转,1只眼睛上睑外侧偏低重新修复后正常。 结论 利用眶隔筋膜、额肌、提上睑肌腱膜三瓣吻合术矫正重度上睑下垂,上睑悬吊牢靠,眼部上提接近生理,睑缘弧度自然,达到美容治疗双重功效,是一种可以推广的美容方法。
Objective To explore a beautiful method of treating serious blepharoptosis. Methods To form the frontal muscle flap and orbital septum aponeurosis flap, the frontal muscle flap was overlapped between levator palpebrae superioris and orbital septum aponeurosis flap; two flaps and levator palpebrae superioris were overlapped and sutured in order to suspend the upper eyelid to correct serious blepharoptosis.Results 12 cases with 12 eyes were treated with this method. Postoperative follow-up for 6 months to 18 months showed that the efficacy of 10 cases was satisfying, symptom in one case improved ,and one case needed a second reconstruction. Conclusion Through this method for correction of serious recurrent blepharoptosis by suspension offrontal muscle flap overlapped with levator palpebrae superioris and orbital septum aponeurosis flap, a better function and cosmetic result could be achieved. The eyelid system that it forms is very consonant with the biological structures.
重度上睑下垂 / 额肌筋膜瓣 / 提上睑肌腱膜 / 眶隔筋膜瓣 / 美容
Serious blepharoptosis / Frontal muscle flap / Levator palpebrae superioris / Orbital septum aponeurosis flap / Beauty
[1] 王炜. 整形外科学[M]. 杭州: 浙江科学技术出版社, 1999: 940-950.
[2] 李凤鸣. 眼科全书[M]. 北京: 人民卫生出版社, 1999:1025.
[3] Stein A . Kelly JP. Weiss AH. Congenital eyelid ptosis: onset and of amblyopia, associations with systemic disorders, and treatment outcomes[J]. J Pediatr, 2014,165(4): 820-824.
[4] Nuhoglu F, Ozdemir FE, Karademir Z, et al. Levator function in blepharoptosissurgery[J]. Facial Plast Surg, 2013,29:71-75.
[5] Park DH, Jung JM, Song CH. Anthropometric analysis of levator muscle function[J]. Plast Reconstr Surg, 2008,121:1181-1187.
[6] 宋遵礼,伍成奇,韩岩. 眶隔筋膜瓣与额肌瓦合固定矫正重度下垂[J].中国美容医学, 2011, 20(11):1673-1674.
[7] 林茂昌. 上睑下垂术式选择及其评价[J]. 中国美容医学, 2006, 15(1):46-47.
[8] 杨群, 汪希. 提上睑肌缩短术在治疗重度先天性上睑下垂中的应用[J]. 实用美容整形外科杂志, 2002,13(6):304-305.
[9] 赵英晓. 提上睑肌与额肌吻合术治疗重度上睑下垂[J]. 临床医药实践杂志, 2008, 17(8): 823-824.
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