双平面固定眼睑成形术的上睑整形效果

Cosmetic effeet of biplane fixed technique for double-eyelid plasty

目的探讨双平面固定眼睑成形术在上睑整形的效果。方法回顾性纳入2019年9月至2021年6月扬州大学附属苏北人民医院医学美容科单睑美容就医者80例, 男6例、女74例, 年龄18~45岁, 平均31岁。手术均用双平面固定技术, 手术要点是将下唇轮匝肌进行双平面固定(硬固定+软悬挂)。采用问卷调查及收集手术前后照片进行统计分析, 评估术后效果。术后随访6~12个月, 统计术后并发症发生率。结果 80例患者切口均一期愈合。患者满意79例, 占98.75%;医师评估满意78例, 占97.50%。温哥华瘢痕量表评分为(2.31±1.80)分, 水肿及瘀斑视觉模拟量表评分为(3.58±2.15)分。术后睁闭眼活动均未出现明显异常, 术后双眼皮宽度存在, 未有脱落, 闭眼切口瘢痕轻微, 未有明显凹陷。结论双平面固定重睑术能够形成牢固的双眼皮线条, 不易脱落且瘢痕轻微, 术后效果稳定, 值得临床应用。

ObjectiveTo investigate the cosmetic effect of biplane fixed technique for double-eyelid plasty.Methods From September 2019 to June 2021,80 patients,including 6 males and 74 females,aged 18-45 years with an average age of 31 years,were treated with single eyelid cosmetic surgery at the Medical Aesthetics Department of Northern Jiangsu People's Hospital Affiliated to Yangzhou University.All the cases were performed by the"biplane fixed technique",and the key point of the surgery was to fix the orbicularis labi muscle in biplane(hard fixation plus soft suspension).A questionnaire survey was conducted and preoperative and postoperative photos were collected for statistical analysis to evaluate postoperative outcomes.The patients were follow up for 6-12 months after surgery,and the incidence of postoperative complications were calculated.Results The incisions of 80 patients all healed by first intention.79 patients were satisfied,accounting for 98.75%.Physicians evaluated 78 cases as satisfactory,accounting for 97.50%.The Vancouver Scar Scale score was 2.31±1.80,and the Edema and Eczema Visual Simulation Scale score was 3.58±2.15.After surgery,there were no significant abnormalities when eyes opening or closing,and the shape of the double eyelid remained intact without shedding.The scar on the closed eye incision was mild and there was no obvious depression.Conclusions The"biplane fixed technique"blepharoplasty can form a firm double eyelid line,which is not easy to fall off and has slight scars.The postoperative effect is stable and worthy of clinical application.