CAJ | 학술논문

目的探讨眶隔紧缩修复在睑袋成形术中的意义.方法对157例40岁以下的就诊者,采用3种术式:(1)单纯脂肪摘除;(2)脂肪摘除+眼轮匝肌悬吊;(3)眼轮匝肌悬吊+眶隔紧缩修复.分析术后6个月至5年的随访结果,观察手术效果及复发情况.结果 86例采用术式(3)者术后效果最好,均无复发;71例采用术式(1)或(2)者睑袋下半部在短期内有不同程度复发.结论 40岁以下睑袋的成因是眼睑前壁薄弱松弛,睑袋出现术后复发者皆以前壁下半部为主,前壁下半部的加强又以眶隔紧缩修复为最有效,眼轮匝肌悬吊的作用是加强前壁上半部及防止并发症发生.术式(3)手术后近远期效果均优于术式(1)和(2).
목적 탐토광격긴축수복재검대성형술중적의의.방법 대157례40세이하적취진자,채용3충술식:(1)단순지방적제;(2)지방적제+안륜잡기현조;(3)안륜잡기현조+광격긴축수복.분석술후6개월지5년적수방결과,관찰수술효과급복발정황.결과 86례채용술식(3)자술후효과최호,균무복발;71례채용술식(1)혹(2)자검대하반부재단기내유불동정도복발.결론 40세이하검대적성인시안검전벽박약송이,검대출현술후복발자개이전벽하반부위주,전벽하반부적가강우이광격긴축수복위최유효,안륜잡기현조적작용시가강전벽상반부급방지병발증발생.술식(3)수술후근원기효과균우우술식(1)화(2).
Objective To discuss the implications of orbital septum repairing and crimpling in the plastic surgery of lower eyelid bags. Methods The ultimate results were analyzed in the patients (aged less than 40) who received three different operations from six months to five years and the effect of operation and recrudescence of lower eyelid sag were observed. The procedures included simple fat removal, fat removal plus orbicularis oculi hanging, and orbicularis oculi hanging plus orbital septum repairing and crimplling. Results Since 2002, 157 cases were treated, and the ultimate effects of patients were analyzed. 86 cases treated with orbicularis oculi hanging plus orbital septum repairing and crimplling reached the best results without recurrence. 71 cases treated with simple fat removal or fat removal plus orbicularis oculi hanging experienced recurrence in different degree within a short period. Conclusion The weakness and laxation of the former wall causes the formation of lower eyelid bag, the appearance and recrudescence mainly locate below the former wall. Orbital septum repairing and crimpling most effectively strengthen the underside of the former wall. Orbicularis oculi hanging strengthens the top of the former wall and prevents any complications. The effects of the last procedure are better than that of the other two in the near future or in the long term.