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
2014年
5期
337-339
,共3页
下睑外翻%植皮%早期复发%锯齿线
下瞼外翻%植皮%早期複髮%鋸齒線
하검외번%식피%조기복발%거치선
Lower eyelids ectropion%Skin grafting%Early recurrence%Aptos thread
目的 探讨应用锯齿线悬吊治疗下睑外翻植皮术后早期复发的疗效.方法 对瘢痕性下睑外翻接受植皮术后早期出现复发的6例患者(8只眼)进行治疗,将锯齿线从外眦点外上方刺入,缝挂部分颞深筋膜后,在紧邻睑缘的眼轮匝肌下走行,并于内眦点内上方缝挂部分眶骨膜后穿出皮肤.结果 6例患者,术后下睑复位良好,睑裂闭合自如,巩膜外露得到矫正,眼部不适症状明显好转.远期随访6～12个月,下睑外翻无复发,无双侧不对称、不平整、植入线外露、穿刺点瘢痕等并发症出现,患者对于外观和功能的疗效均满意.结论 应用锯齿线悬吊矫正下睑外翻植皮术后的早期复发,是一种安全有效的微创治疗方法.
目的 探討應用鋸齒線懸弔治療下瞼外翻植皮術後早期複髮的療效.方法 對瘢痕性下瞼外翻接受植皮術後早期齣現複髮的6例患者(8隻眼)進行治療,將鋸齒線從外眥點外上方刺入,縫掛部分顳深觔膜後,在緊鄰瞼緣的眼輪匝肌下走行,併于內眥點內上方縫掛部分眶骨膜後穿齣皮膚.結果 6例患者,術後下瞼複位良好,瞼裂閉閤自如,鞏膜外露得到矯正,眼部不適癥狀明顯好轉.遠期隨訪6～12箇月,下瞼外翻無複髮,無雙側不對稱、不平整、植入線外露、穿刺點瘢痕等併髮癥齣現,患者對于外觀和功能的療效均滿意.結論 應用鋸齒線懸弔矯正下瞼外翻植皮術後的早期複髮,是一種安全有效的微創治療方法.
목적 탐토응용거치선현조치료하검외번식피술후조기복발적료효.방법 대반흔성하검외번접수식피술후조기출현복발적6례환자(8지안)진행치료,장거치선종외자점외상방자입,봉괘부분섭심근막후,재긴린검연적안륜잡기하주행,병우내자점내상방봉괘부분광골막후천출피부.결과 6례환자,술후하검복위량호,검렬폐합자여,공막외로득도교정,안부불괄증상명현호전.원기수방6～12개월,하검외번무복발,무쌍측불대칭、불평정、식입선외로、천자점반흔등병발증출현,환자대우외관화공능적료효균만의.결론 응용거치선현조교정하검외번식피술후적조기복발,시일충안전유효적미창치료방법.
Objective To investigate the long-time effects of early recurrence treated by aptos thread after skin grafting of lower eyelid ectropion.Methods Eight eyelids of 6 patients with early recurrence after skin grafting of lower eyelid ectropion were reviewed.They were operated between January 2009 and January 2013.Surgeries were done under local anesthesia.Aptos thread was fixed on the deep temporal fascia above the outer canthus and implanted under the orbicularis oculi muscle.Then aptos thread was fixed with the periorbit of inner canthus.Results 8 eyes of 6 patients were followed for 6～12 months.All the patients were satisfied with the good closure function,ideal cosmetic outcome and non-recurrences of lower eyelids extropion.Conclusions The technique of deep temporal fascia and periorbit fixed by aptos thread is an effective method for early recurrence after skin grafting of lower eyelid ectropion.It would be helpful to obtain a lasting post-operative effects.
