论文部分内容阅读
目的探讨睑袋矫治成形术中眶隔脂肪的处理,以及术后出现睑球分离、下睑外翻的问题。方法轻度者采用结膜面入路,进入眶隔,将眶隔脂肪部分切除;中度者采用下睑缘切口入路,在眶隔膜表面剥离形成眼轮匝肌皮瓣;重度者采用综合提紧法睑袋矫治成形术。结果在获随访的33例中,2例下睑颊区域轻度塌陷;术后6例程度有不同的睑球分离,其中1例轻度下睑轻度退缩。分别通过自行恢复及手术得以矫正。结论不是所有的睑袋矫治成形术都一律进入眶隔,并去除眶隔脂肪。术后的睑球分离,在排除水肿等原因后,应为皮肤切除过量所致。
Objective To investigate the treatment of orbital septal fat in eyelid plasty and the problems of eyelid separation and eversion of lower eyelid after operation. Methods In mild cases, the conjunctival surface approach was used to enter the orbital septum and the orbital septum was partially resected. The moderate eyelid incision approach was used to form the orbicularis oculi muscle flaps on the surface of the orbital septum. Tight eyelid bag correction angioplasty. Results Among the 33 patients who were followed up, 2 cases had mild collapse of the lower eyelid region; 6 cases had different degree of eyelid separation after operation, and 1 case had mild lower eyelid retraction. Respectively through self-recovery and surgery to be corrected. Conclusions Not all blepharoplasty may enter the orbital space all together and remove orbital fat. After the separation of the eyelid, edema and other reasons in the exclusion, the excision of the skin should be due to.