微创重睑成形手术临床应用体会

The Experience of Clinic Application of Minimally Invasive Operation for Double-fold Eyelid Plasty

目的探讨上睑中外1/3处独立小切口去除部分眶隔脂肪后,再结合埋线法上睑成形术的手术方法、适应症、临床效果及注意事项。方法分别于双眼上睑中外1/3处设计一长约1mm小切口,通过此切口利用显微外科手术器械切除多余的外眦部眶隔脂肪,然后行埋线重睑成形术。结果此法临床应用于15例上睑有不同程度臃肿的患者,手术后患者眼部肿胀轻微,恢复快,不影响正常工作学习。随访3个月～1年,重睑皱襞牢固自然,无线结外露,无明显手术疤痕,患者满意。结论独立上睑中外1/3处小切口除眶脂后再结合埋线法重睑成形术系微创手术,操作精细,创伤小,重睑皱襞形成自然,没有明显手术痕迹,更适合现代人的美容要求。此法扩大了埋线手术适应证范围,尤其适用于有轻度或中度"肿眼泡"表现的患者。

Objective To explore the method of lateral 1/3 part independent small incision of the upper eyelid to remove orbital septum fat, combined with buried suture technique for double-fold eyelid plasty and indications, clinical efficacy and attention. Methods Design a mini-incision about 1 mm in both eyes＇ upper eyelid in the lateral 1/3, the excess department of orbital septurn fat of outer canthal resected by microsurgery instruments through the incision, and then combined with buried suture technique for double-fold eyelid plasty. Results After clinical application of this method for 15 cases with varying degrees of bloated upper eyelid,patients behaved with minor eye swelling and recovered rapidly;the normal work and learning were not affected. Follow-up 3 months to one year, the patients＇ double eyelid folds were firmly and natural, no suture knot exposed, no significant sur- gical scar,no significant surgical scar,the patients were satisfactory. Conclusion Through the upper eyelid in the lateral 1/3 of an independent small incision to remove orbital fat, and then complete the double-fold eyelid plasty with buried suture technique was a minimally invasive surgery, the operation was fine, damage was small, the formation of the double eyelid folds were natural, no obvious signs of surgery were observed, it met with peoples＇ beauty requirements. This surgery had expanded the indication of buried suture method,was particularly suitable for the patients had mild or moderate ＂bubble swollen eye＂ performance.