CAJ | 학술논문

目的:介绍不同程度上睑松弛合并眉下垂的手术设计与应用效果.方法:根据上睑松弛与眉下垂的程度行个性化设计.手术切除眉上或眉下及上睑部分皮肤肌肉层、内缝线固定悬吊松弛的眼轮匝肌等矫正不同程度的上睑松弛及眉下垂.结果:所有受术者切口均一期愈合,80%眉形及上睑缘弧度柔和且两侧基本一致,无成角畸形、睑外翻及睑裂闭合不全等并发症,约20%有不同程度复发,行二次修复后患者满意.结论:不同程度的上睑松弛及眉下垂的手术需行个体化设计才能达到预期效果.
목적:개소불동정도상검송이합병미하수적수술설계여응용효과.방법:근거상검송이여미하수적정도행개성화설계.수술절제미상혹미하급상검부분피부기육층、내봉선고정현조송이적안륜잡기등교정불동정도적상검송이급미하수.결과:소유수술자절구균일기유합,80%미형급상검연호도유화차량측기본일치,무성각기형、검외번급검렬폐합불전등병발증,약20%유불동정도복발,행이차수복후환자만의.결론:불동정도적상검송이급미하수적수술수행개체화설계재능체도예기효과.
Objective To introduce the surgical design of different degree eyebrow ptosis with upper eyelid skin relaxation. Methods Individualization surgical design for patients based on the different degrees of eyebrow ptosis and upper eyelid skin relaxation.According to the different degree eyebrow ptosis with upper eyelid skin relaxation,we resected the portion of skin and muscle of lower eyebrow and upper eyebrow simultaneous suture fixation relaxation of orbicularis oculi muscle. Results All incisions of patients were with primary healing.The shape of eyebrow and upper eyelid radian were satisfied with the 80%patients and the shape of eyebrow and upper eyelid radian are consistent in both sides.There were no complications of ectropion,blepharal dysraphism and angulation deformity.About 20%patients have different degrees of recurrence and they are satisfaction after the second surgical. Conclusion It is necessary to operate individualization surgical design for patients with different degrees of eyebrow ptosis and upper eyelid skin relaxation.