中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2008年
3期
156-158
,共3页
斜视,共同性%重睑
斜視,共同性%重瞼
사시,공동성%중검
Cockeye,common%Double eyelids
目的 探讨对单睑又伴有共同性水平斜视者进行一期手术,以达到既节省时间又美容的目的 .方法 首先根据斜视度数计算相关眼肌后徙和缩短尺寸,再设计重睑线高度并定位,然后进行水平肌后徙和缩短以矫正斜视,最后进行切开法重睑成形术.结果 25例伴有内斜视的受术者,斜视均得到正位矫正;11例伴有外斜视的受术者中有4例过矫,其范围在5～10°,余均正位.对于薄眼皮、中厚眼皮的单睑,均在3个月内恢复自然形态,而厚眼皮者则恢复较慢,平均半年左右.伴有内眦赘皮的2例亦得到矫正.结论 尽管斜视手术对整形外科医师陌生并有一定难度,但是, 二者一期手术完成既节省时间、节约经费又能达到美容目的 ,有条件者可以慎重考虑进行.
目的 探討對單瞼又伴有共同性水平斜視者進行一期手術,以達到既節省時間又美容的目的 .方法 首先根據斜視度數計算相關眼肌後徙和縮短呎吋,再設計重瞼線高度併定位,然後進行水平肌後徙和縮短以矯正斜視,最後進行切開法重瞼成形術.結果 25例伴有內斜視的受術者,斜視均得到正位矯正;11例伴有外斜視的受術者中有4例過矯,其範圍在5～10°,餘均正位.對于薄眼皮、中厚眼皮的單瞼,均在3箇月內恢複自然形態,而厚眼皮者則恢複較慢,平均半年左右.伴有內眥贅皮的2例亦得到矯正.結論 儘管斜視手術對整形外科醫師陌生併有一定難度,但是, 二者一期手術完成既節省時間、節約經費又能達到美容目的 ,有條件者可以慎重攷慮進行.
목적 탐토대단검우반유공동성수평사시자진행일기수술,이체도기절성시간우미용적목적 .방법 수선근거사시도수계산상관안기후사화축단척촌,재설계중검선고도병정위,연후진행수평기후사화축단이교정사시,최후진행절개법중검성형술.결과 25례반유내사시적수술자,사시균득도정위교정;11례반유외사시적수술자중유4례과교,기범위재5～10°,여균정위.대우박안피、중후안피적단검,균재3개월내회복자연형태,이후안피자칙회복교만,평균반년좌우.반유내자췌피적2례역득도교정.결론 진관사시수술대정형외과의사맥생병유일정난도,단시, 이자일기수술완성기절성시간、절약경비우능체도미용목적 ,유조건자가이신중고필진행.
Objective To explore the synchronous cosmetic surgical procedures for the beauty-seekers who have both single eyelid and commonly horizontal cockeye in order to acheive either time saving or beautifying. Methods Firstly, the distance of moving backwards and shortening length of the eye muscle were calculated and designed according to the degree of cockeye; secondly, the height of the double eyelids line and positioning were re-designed; then the moving backwards and shortening of the horizontal macula were put up to rectify the cockeye; finally, the incisal double eyelid operation was performed. Results All 25 patients with inner cockeyes were corrected at the right position; 4 of 11 patients with outer cockeyes were corrected 5～10 degrees over the right position, and others were at the right position. The single eyelid with thin-eyelid and middle-thick-eyelid restored within 3 months; but the patient with thick-eyelid restored slowly, about half a year in average. 2 patients with redundant skin at inner corner of eye were also corrected at the right position. Conclusions Although there is somewhat difficulty in the plastic surgery for patients with cockeye and single eyelids, synchronous operation can save time and outlay, and also acheive the aim of beautifying. Therefore, it is a good approach to deal with cockeye.
