摘要
目的评价改良的眼睑前层错位术在矫正上睑倒睫中的作用。方法在上睑设计重睑切口并确定要切除的皮肤范围;根据倒睫位置沿灰线或略向下劈开睑缘深约3mm,使眼睑分为前后两叶;沿设计线做两条皮肤切口,切除皮肤及下方的眼轮匝肌;紧贴睑板表面,彻底游离切口下方眼睑前叶;向上提拉形成的"桥状"瓣,先按重睑术要求缝合上方切口,再错位在睑缘部固定眼睑前叶。结果本组57例患者(72只眼),随访3~12个月,3个月复发率为0,6个月复发率为2.8%,12个月复发率为5.6%。随访期间未发现继发性上睑退缩和外翻现象,上睑形态满意。结论改良的眼睑前层错位术是矫正上睑倒睫安全、有效的方法。
Objective To evaluate an improved operation of complete displacement of lid's anterior layer for the treatment of upper eyelids trichiasis. Methods The operation included following steps: Encircled the redundant skin area which need to be excised; split the eyelid margin at a 3 mm depth along the grey line; made incision along the designed skin line, excised the redundant skin and its inferior orbicularis oculi muscle; along the surface of tarsal plate, made a penetrating incision under the anterior layer of the eyelid and a bridged - flap formed; shifted upward the flap and made sutures according to the double - eyelid operation rules and then fixed the anterior lid margin to the surface of the tarsal plate. Results 57 cases with 72 eyes were operated and followed - up for 3 - 12 months. The lid margin and eyelash position, patients' feeling, recurrence rate and cosmetic appearance were assessed. The recurrence rate was 0 at 3 months, 2.8 % at 6 months and 5.6 % at 12 months after surgery. There were no cases of secondary ectropion and eyelid retraction, the cosmetic appearance were satisfied. Conclusion The modified operation - complete displacement of lid's anteriorlayar is an effective and safe method for the treatment of upper eyelids trichiasis.
出处
《中国美容整形外科杂志》
CAS
2007年第4期277-279,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
倒睫
上睑成形术
重睑术
睑内翻
Trichiasis
Blepharoplasty
Double eyelid
Entropion