CAJ | 학술논문

目的：探讨下睑松垂患者下睑袋整形手术的改良。方法：对121例（242眼）下睑袋患者进行整形手术，其中男性30例，女性91例，平均年龄51.2岁。针对下睑松垂患者下睑袋的病理特点，取下睑缘切口，垂直切开皮肤，暴露眼轮匝肌，向眶隔以远稍分离1～2mm，以45°角向下斜行将眼轮匝肌剖开，显露眶隔，去除疝出多余脂肪并重置，眶隔加固后，缝合皮肤切口。患者均于术后7天拆除切口缝线。结果：术后121例患者的下睑袋和下睑松垂均得到了满意的修复，随访3～24个月，眶下区均得到年轻化改善，下睑及睑缘形态自然，无下睑外翻和睑球分离。结论：改良的下睑袋整形技术，对下睑松垂患者的病理特点有比较强的针对性，是一种比较适合下睑松垂患者的下睑袋整形方法。
목적：탐토하검송수환자하검대정형수술적개량。방법：대121례（242안）하검대환자진행정형수술，기중남성30례，녀성91례，평균년령51.2세。침대하검송수환자하검대적병리특점，취하검연절구，수직절개피부，폭로안륜잡기，향광격이원초분리1～2mm，이45°각향하사행장안륜잡기부개，현로광격，거제산출다여지방병중치，광격가고후，봉합피부절구。환자균우술후7천탁제절구봉선。결과：술후121례환자적하검대화하검송수균득도료만의적수복，수방3～24개월，광하구균득도년경화개선，하검급검연형태자연，무하검외번화검구분리。결론：개량적하검대정형기술，대하검송수환자적병리특점유비교강적침대성，시일충비교괄합하검송수환자적하검대정형방법。
Objective To investigate the modification of lower eyelid blepharoplasty on patients with palpebral relaxation. Methods 121 cases (242) of patients with palpebral bags accept low eyelid blepharoplasty in which, 30 were male,91 were female,with an average age of 51.2 years.According to the pathologic feature of palpabral bags with palpebral relaxation, the low eyelid incision is chosen, a vertical dissection to the skin with exposing the orbicularis oculi muscle, and dissection towards the orbital septum about 1- 2mm,45- degree oblique split orbicularis oculi muscle to expose the orbital septum, excess fat is removed and reset.When the orbital septum is reinforced,the skin is closed.All patients remove suture in the 7 days. Results 121 cases with palpebral bags and relaxation have been followed- up for 3- 24 months in which all achieved satisfactory results. There are improvements in suborbital area, natural shape of lower eyelid without ectropion and lidconjunctival contact failure. Conclusion The modified lower eyelid blepharoplasty aiming at the pathological features of patients with palpebral relaxation,is a suitable method for patients with lower eyelid palpebral relaxation.