摘要
目的探讨用眼睑美容手术切口修复外伤后眼睑畸形的方法及效果。方法2016年1月至2018年10月,中国医科大学附属口腔医院整形美容中心收治外伤后眼睑畸形17例,男11例,女6例,年龄31~65岁,平均43.7岁。畸形包括下睑外翻、内眦瘢痕挛缩、内眦韧带移位,外眦点移位等,利用重睑手术切口、改良Z瓣内眦成形手术切口、外眦成形术手术切口,采用重睑手术切除的全厚皮片移植修复瘢痕切除后的缺损、内眦韧带锚固、外眦韧带悬吊等手术方法进行修复。结果17例外伤性眼睑畸形术后切口一期愈合,移植皮片成活良好。随访6~12个月,患者外观理想,双侧重睑基本对称,内眦点及外眦点对称,睁闭眼功能正常,移植皮片与周围无色差,瘢痕不明显。治愈8例,有效9例。17例眼睑正常解剖结构得到恢复,且获得较为理想的美观效果。结论用眼睑美容手术切口来修复外伤后眼睑畸形的方法效果好。
Objective To explore the effectiveness of repairing eyelids deformities caused by trauma with cosmetic surgery incisions.Methods Retrospective analysis was conducted in 17 patients with eyelids deformities caused by trauma in Plastic and Cosmetic Center,School and Hospital of Stomatology,China Medical University from January 2016 to October 2018.The deformities included lower eyelid ectropion,scar contracture of endocanthion,displacement of the medial canthus ligament,displacement of external canthus.We used the incisions of blepharoplasty,modified Z-epicanthoplasty,and the cosmetic lateral canthoplasty.The surgeries included grafting of full-thickness skin from blepharoplasty to repair the defects after scar ectomy,anchoring of medial canthal ligament,suspending of lateral canthal ligament.Results All the 17 patients had good appearance and normal functions of eyelids.Conclusions It deserves well recommended for using cosmetic surgery incisions to repair eyelids deformities.
作者
张蕾
孟芝竹
赵辰宇
魏代玉
张永尚
杨鸣良
刘强
Zhang Lei;Meng Zhizhu;Zhao Chenyu;Wei Daiyu;Zhang Yongshang;Yang Mingliang;Liu Qiang(Plastic and Cosmetic Center and Department of Oral and Maxillofacial Surgery,China Medical University,Shenyang 110005,China)
出处
《中华医学美学美容杂志》
2020年第3期175-177,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
眼睑
眼睑成形术
创伤
损伤
Eyelids
Blepharoplasty
Trauma
Injure