硬悬吊技术在东方人重睑成形术中的临床应用

Clinical application of firm-suspension technique in Oriental blepharoplasty

目的探讨硬悬吊技术在东方人重睑成形术中的临床应用效果。方法回顾性分析2019年3月至2021年3月中南大学湘雅二医院整形美容(烧伤)外科、长沙美莱医疗美容医院整形外科收治的硬悬吊技术切开法重睑成形术患者的临床资料。在重睑成形术中,内固定方式采用硬悬吊技术,即将上睑提肌腱膜、眶隔残端及切口下唇眼轮匝肌固定于睑板上缘。术后随访观察重睑线的高度、弧度及切口瘢痕情况,手术医生、患者和第三方医生通过对比患者术前和术后3个月以上的照片,对手术效果进行评价,三方都满意为显著有效,两方满意为有效,一方满意为一般,都不满意为差。结果共纳入50例患者(100只眼),男3例,女47例,年龄17~45岁,平均25岁。所有患者均为先天性双侧单睑,43例为初次行重睑术,7例为重睑修复术。术后随访3~12个月,平均6个月,所有患者切口均一期愈合,2例患者出现双侧重睑皱褶不对称,其余48例患者重睑皱褶形态稳定、弧度自然、高度和宽度适宜、双侧对称,无明显切口瘢痕。术后效果评价:显著有效42例,有效6例,一般2例,疗效满意度为96%(48/50)。结论硬悬吊技术在东方人切开法重睑成形术中能够获得较满意的术后效果,并且重睑褶皱形态稳定。

Objective To investigate the effectiveness of the firm-suspension technique in Oriental double eyelid blepharoplasty.Methods From March 2019 to March 2021,the clinical data of patients undergoing incision double eyelid blepharoplasty with firm-suspension technique in the Department of Plastic and Cosmetic(Burn)Surgery of the Second Xiangya Hospital of Central South University and the Department of Plastic Surgery of Changsha Mylike Medical Cosmetic Hospital were retrospectively analyzed.All the internal fixation method in this study were firm-suspension technique:the levator aponeurosis,the remnants of the orbital septum,and the lower lip incision orbicularis oculi muscle were fixed to the upper edge of the tarsal plate.The height,curvature and incision scar of the double eyelid line were observed during the postoperative follow-up.The surgery doctor,patients and a third party surgeon compared photos before and more than 3 months after the operation to evaluate the effect of the operation.Three parties were satisfied as significantly effective,two parties were satisfied as effective,one party was satisfied as normal,and all were dissatisfied as poor.Results A total of 50 patients(100 eyes)were included,including 47 females and 3 males,ranging in age from 17 to 45 years old,with an average age of 25 years.All the patients had congenital bilateral single eyelid,43 cases underwent double eyelid surgery for the first time,and 7 patients underwent revision double eyelid surgery.The postoperative follow-up was 3 to 12 months,with an average of 6 months.All incisions were healed by primary intention.Two patients had asymmetric double eyelid folds,and the remaining 48 patients had stable double eyelid folds in shape,natural curvature,appropriate height and width,bilateral symmetry,no obvious scar,postoperative effect evaluation:42 patients were significantly effective,6 were effective,2 were normal,and the satisfaction rate was 96%(48/50).Conclusion The firm-suspension technique in Oriental blepharoplasty can obtain satisfactory postoperative appearance,and the double eyelid fold was stable.