CAJ | 학술논문

目的探讨在重睑成形术中剥离睑板前眼轮匝肌肌皮瓣并将其肌肉上缘缝合至上睑提肌腱膜的手术方法,模拟先天性重睑中上睑提肌腱膜发出纤维附着于上睑皮肤的机制.方法于睑板前剥离形成眼轮匝肌肌皮瓣,自睑板上缘开始于眶隔后壁与上睑提肌腱膜之间向上剥离至上睑提肌肌肉部.将眼轮匝肌肌皮瓣的肌肉上缘缝合至上睑提肌腱膜,间断缝合切口下缘皮肤-眶隔下缘-切口上缘皮肤.伴有内眦赘皮者同时行内眦赘皮矫正术.结果治疗68例136只眼睛,9例术后随访1个月,53例术后随访3个月,失访6例,受术者重睑线形态自然,均对手术效果满意.结论该手术方法重睑效果好,符合先天性重睑形成的生理机制,并可避免重睑线消失与睑上三重皱褶的发生.
목적 탐토재중검성형술중박리검판전안륜잡기기피판병장기기육상연봉합지상검제기건막적수술방법,모의선천성중검중상검제기건막발출섬유부착우상검피부적궤제.방법 우검판전박리형성안륜잡기기피판,자검판상연개시우광격후벽여상검제기건막지간향상박리지상검제기기육부.장안륜잡기기피판적기육상연봉합지상검제기건막,간단봉합절구하연피부-광격하연-절구상연피부.반유내자췌피자동시행내자췌피교정술.결과 치료68례136지안정,9례술후수방1개월,53례술후수방3개월,실방6례,수술자중검선형태자연,균대수술효과만의.결론 해수술방법중검효과호,부합선천성중검형성적생리궤제,병가피면중검선소실여검상삼중추습적발생.
Objective To explore the methodology of suturing the upper margin of the orbicularis muscle in pretarsal orbicularis myocutaneous flap to the levator aponeurosis,simulating the mechanism of fibers from the levator aponeurosis to the dermis in natural double-eyelid in blepharoplasty.Methods Pretarsal orbicularis myocutaneous flap was harvested.Dissection between the orbital septum and the levator aponeurosis was performed originating from the upper margin of the tarsi until to the levator muscle.The upper margin of the orbicularis muscle in pretarsal orbicularis myocutaneous flap was sutured to the levator aponeurosis.The lower skin margin to the orbital septum to the upper skin margin was sutured interruptedly.Patients with medial epicanthus were performed epicanthoplasty at the same time.Results 136 eyes in 68 patients were performed with double-eyelid blepharoplasty using this method.62 patients were followed-up for 1 month and 53 patients were followed-up for 3 months.They all reported satisfactory aesthetic results.Conclusions Double-eyelid blepharoplasty using this method accords with the physiological mechanism in natural double-eyelid.Postoperative double-eyelid is natural with little tumefaction.This method can avoid double-eyelid fold retraction and multi-fold occurrence.