论文部分内容阅读
目的:探讨经结膜双重睑成形术。方法:坐位或立位自然睁眼平视,动态确定双重睑宽度、外形,并标识出。宽约5~7 mm。表、局麻后,经结膜入路剪开提上睑肌,去除一条眼轮匝肌,将皮肤皮下与睑板缝合进行相应处置形成双重睑,缝合切口。结果:本组28例,随访4~300 d,其中6例双重睑线过浅,经埋线缝合后矫正,两例经上睑缘皮肤切口法手术后矫正。结论:此术式设计避免了皮肤切口,满足了不希望皮肤切开,又不适合埋线法而希望得到双重睑者的愿望,主要用于伴有轻度上睑下垂者,手术同时可以经分离消除原有的小双重睑、去除轻、中度内眦赘皮中内眦部部分异构眼轮匝肌,消除因眶区饱满,脂肪过多或泪腺脱垂,去除部分眶内脂肪或泪腺复位。
Objective: To investigate the double conjunctival double eyelidoplasty. Method: sitting or standing naturally open eyes flat, dynamic determination of double eyelid width, shape, and identify. Width of 5 ~ 7 mm. Table, after local anesthesia, the conjunctiva approach to cut open the levator muscle, remove an orbicularis muscle, the skin and the tarsal subcutaneous sutures for the formation of double eyelid, suture incision. Results: Twenty-eight cases were followed up for 4 ~ 300 days. Six cases of double eyelid line were superficial and were corrected by embedding and suturing. Two cases were corrected by operation of upper eyelid skin incision. CONCLUSIONS: This surgical design avoids skin incision, fulfilling the desire of not wanting skin incision and embedding of double eyelid for catgut embedding. It is mainly used for patients with mild ptosis who can operate at the same time Separation and elimination of the original small double eyelid, remove light and moderate epicanthus epiphyseal partial heterogeneous orbicularis orbicularis orbital area due to eliminate full, adipose or lacrimal gland prolapse, removal of part of the orbital fat or Lacrimal gland reset.