经眉切口SMAS提升术矫治上睑松弛的临床研究

Clinical study on the treatment of upper eyelid relaxation by SMAS lifting with eyebrow incision

目的探讨经眉切口浅表肌肉腱膜系统(SMAS)提升术治疗上睑松弛的矫治效果,以期寻找对于上睑松弛老化的有效治疗方法。方法 1、选择2013年6月至2015年6月在我院就诊的上睑松弛患者32例;2、采用局麻下经眉切口SMAS提升术,手术根据患者眉下垂程度与眉-睑距离的大小采用经眉下或眉上切口,设计手术切除皮肤量,切开皮肤、皮下组织,并切除设计切口内皮肤,沿皮下组织与眼轮匝肌之间向下分离皮瓣,暴露SMAS(眼轮匝肌与额肌筋膜组织),折叠缝合SMAS使眉及上睑得以提升,缝合皮肤切口,加压包扎双眼。结果我们根据患者眉下垂程度与眉-睑距离的不同,分别采取了眉下切口(眉下垂程度轻,眉睑距离较大)或眉上切口(眉下垂程度明显),通过SMAS的折叠提升和松弛皮肤的切除,使松弛的上睑和下垂的眉部组织均得到有效的矫正,患者恢复或接近了自己年轻时的眼部状态,获得了满意的临床效果。结论经眉切口SMAS提升术矫治上睑松弛及老化治疗效果良好。

Objective To investigate the effect of SMAS lifting by eyebrow incisionin the treatment of upper eyelid relaxation, in order to find the effective treatment method for theaging of the upper eyelid. Metions Select the upper eyelid laxity patients from June 2013 toJune 2015 in our hospital 32 cases; Adopted by the SMAS incision brow lift surgery under localanesthesia; According to the extent of the patient＇s eyebrows droop and the distance between theeyebrows and eyelids, Select the incision above the eyebrows or below the eyebrows.Designsurgical removal of skin; Cut the skin, subcutaneous tissue, And removal of design incisions in the skin, Down along the separation between the subcutaneous tissue and orbicularis muscle flap,Exposure to SMAS （orbicularis muscle and frontalis fascia）, Folding suture SMAS to improve theeyebrow and upper eyelid. Suture the skin incision, Bandage bandaged eyes. Results Weaccording to the patient＇s brow ptosis degree and eyebrow eyelid to different distance,Respectively, the incision below the eyebrows（The light degree of eyebrow eyebrow ptosis, eyelidto wide distance ）or above the eyebrows（The degree of brow droop is obvious）, Removal of theskin by folding and relaxing SMAS, Through the folding of SMAS, the removal of the skin, The effective correction was made for the loose upper eyelid and the prolapse of the eyebrow.The patient recovered or was close to their youthful eye condition,Satisfactory clinical results were obtained. Conclusions Treatment of upper eyelid relaxation and aging treatment by SMAS lifting of eyebrow incision was good.