减张术在重睑术中的临床应用

Clinical application of tension relaxing suture to double eyelid plasty

目的探讨减张术在全切开法重睑术中的应用效果。方法在全切开法8-0尼龙线缝合切口完成后,从内眦到外眦,在重睑切口的上下方均匀地作5个7-0尼龙线的减张点。结果对110例患者在重睑术中应用减张术,术后2 d拆除减张线,6～7 d拆除伤口缝合线。随访6～12个月,重睑线瘢痕形成少,重睑效果稳定、美观、自然,无严重术后并发症。结论本方法操作简单,创伤小,术后瘢痕形成明显减少,重睑效果稳定持久。

Objective To explore the application of tension relaxing suture to full-cut incision double eyelid plasty.Methods After the full-cut incision with the suture by 8-0 nylon,from the inner canthus to the outer canthus,5 tension relaxing points were made by 7-0 nylon suture evenly above and below the double eyelid incision.Results 110 cases accepted the tension relaxing suture in their double eyelid plasty.The tension-relaxing-sutures were all removed 2 d after the operation,and the wound sutures were removed 6-7 d after the operation.In the 6-12 months follow-up,there was less formation of scars caused by double eyelid suture and the effects were stable,nice,and natural.No severe postoperative complication occurred.Conclusion This method is simple with fewer wounds,fewer scars,and permanent effects.