睑部美容手术同期治疗先天性泪囊瘘的效果

Management of congenital lacrimal fistula combined with eyelid cosmetic surgery

目的探讨联合重睑成形与内眦开大整形术一期治疗先天性泪囊瘘有效性及美容效果。方法2014年11月至2021年3月,中国医学科学院整形外科医院颌面整形二中心收治先天性泪囊瘘合并内眦赘皮女性患者6例,年龄12~32岁,平均24岁。其中单侧泪囊瘘5例、双侧1例,联合重睑成形与内眦开大整形术一期行先天性泪囊瘘切除术。结果术后随访3~40个月,平均18个月。6例患者眼部外观明显改善,瘘管去除彻底,无继发感染、囊肿;眼睑无外翻、牵拉等畸形改变;患侧泪小点清晰,泪道通畅,无异常分泌;眦点位置如常、形态良好,术区瘢痕不明显。结论重睑成形联合内眦开大整形术同期行瘘管切除术可改善患者眼部外观,同时有效治疗先天性泪囊瘘。

Objective To investigate the feasibility and availability of one-stage treatment for congenital lacrimal fistula combined with blepharoplasty and epicanthoplasty.Methods From November 2014 to March 2021,6 female patients with congenital lacrimal fistula and epicanthus were treated in the 2nd Department of Maxillofacial Plastic Surgery Hospital,Chinese Academy of Medical Sciences/Peking Union Medical College,aged 12-32 years(mean 24 years),including 5 unilateral lacrimal fistula and 1 bilateral.Results During 3 to 40 months(mean 18 months)of follow-up,the ocular appearances were improved notably and the fistulas were removed completely.There was no secondary infection or cyst occurred,and no ectropion,traction or other deformities.The position of canthus was normal and the shape of canthus was good.The scars in the operation area were inconspicuous.Conclusions Fistulectomy combined with blepharoplasty and epicanthoplasty can excise congenital lacrimal fistula effectively while improving the ocular appearance by this procedure.