横切法矫正内眦赘皮联合生物蛋白线切开法行重睑术.pdfVIP

384 中国美容医学 2012年 3月第 21卷第 3期 ChineseJournalofAestheticMedicine．Mar．2012．Vo1．21．No_3 · · 眼耳鼻美容 · 论著 · 横切法矫正内眦赘皮联合生物蛋 白线切开法行重睑术 蔡 里，庞建华，李 萍，安可忍，李风浩 (哈尔滨医科大学附属第二医院整形美容科 黑龙江 哈尔滨 150086) [摘要]目的：寻求一损伤小、痕迹轻的内眦赘皮矫正与重睑成形同期完成的手术方法。方法：本组对 178例伴有轻中程度内眦赘 皮的单睑患者，均采用横形切开内眦赘皮斜下切开下眼睑皮肤同时切断部分内眦韧带，同时联合切开法重睑术。术中皮瓣应用 生物蛋白线无张力缝合，以期求得对组织损伤更小、切t：／痕迹更轻，重睑的设计方法同常规。结果：178例受术者随访 6个月以 上，患者 内眦切1：2均无明显瘢痕，无复发，重睑形态自然，效果满意。结论：横切法矫正内眦赘皮联合生物蛋白线重睑术是一种简 单有效的内眦赘皮矫正方法，其与其他内眦赘皮矫正术相比较有明显的损伤小，切口无明显瘢痕，维持亚洲人眼形，恢复快、操 作简单等优点。 [关键词]重睑术；内眦赘皮；横切法；生物蛋白线 [中图分类号]R622 [文献标识码]A [文章编号]1008—6455(2O11)03—0384—03 Crosscutmethodcorrectionepicanthusjointbiologicproteinlinedoubleeyelidresection CAILi，PANG Jian-hua，LIPing，AN Ke—ren，LIFeng—hao (DepartmentofPlasticSurgery，TheSecondAffiliatedHospitalofHarbinMedicalUniversity，Harbin150086，Heilongjiang China) Abstract：ObjectiveToseekasurgicalmethodwhichdamageminimumandtracesthelightestandthattheepicanthus withdoubleeyelidformingarefinishedatthesametime．Methods Thereare 178patienswithfoldesteyelidcombined with epicanthus inmild—to—moderate degree in thisgroup．They were al1treated with crosscutmethod correction epicanthus．Inclined cutting downthe lowereyelid skinand cuttingoffpartof theendocanthion ligamentsatthesame time，whileunited cutmethodofdoubleeyelid resection．Jn orderfO seeka surgicalmethodwhich damagem}njmum and tracesthelightesttothetissue，Intraoperativeflapwassuturedbybiologicalproteinslinewithouttension．thedouble eyeliddesignmethodwassametotheroutine．Results These 178caseswerefollowedupforabove6months No obviousscarinepicanthusincisionandnorecurrence．AIIpatientspostoperativeachieved successwithnatureshaped doubleeyelidandgotsatisfac