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改良切开重睑术对改善术后重睑形态的研究.doc

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改良切开重睑术对改善术后重睑形态的研究.doc
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, Park , , 67 , 1 1 .5 , , , , , ; ; ; , E-mail:luoxs71@126.com 2017 10 20 The Shape Improvement of Double Eyelid after Modified Double Eyelid Blepharoplasty HE Zhaoli CHAI Zhaoqiang XIAO Xia LIU Ye YUAN Zhaoqi LUO Xusong Department of Plastic Surgery, Tengzhou Central People's Hospital; Department of Plastic Surgery, The Second Hospital, University of South China; Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine; Abstract Objective To summarize the long-term outcome after modified double eyelid blepharoplasty. Methods On the basis of the traditional upper blepharoplasty, using Park method of blepharoplasty to retain the orbicularis oculi muscle of the inferior incision margin above the tarsus, which can be firmly tied down with the superior margin of the tarsus. Results All 67 patients were treated with this method, and followed up for 1 to 1.5 years. All patients were satisfied with the longterm outcome. No complication was observed. Conclusion The modified double eyelid blepharoplasty can keep the connection of the orbicularis oculi muscle anatomically, which can reduce the upper eyelids edema rapidly and make the radian of the double eyelids natural and longer-lasting. So this technique is worthy of application and promotion in clinic. Keyword Double eyelid blepharoplasty; Orbicularis oculi muscle; Modified method; Received 2017 10 20 2013 5 2014 5 , 67 , - - , , , , , 1 67 , 17~28 ( 23.68 ) , , 2 2.1 , , , , , 7~8 mm , 5 mm, , , 3 , , , , , 1/3 , , , , 2.2 2% ( ) , 1~1.5 m L , 5~10 min ( ) , , , , 1/3 , , , , , , , 8-0 3 - - , , , 1 , , 2.3 , , 48 h , 7 d , 3 , 3 , 3~6 3 67 , , 7 d 2 , 9 1 , , , , , , , , , ( 1) 1 Fig.1 Typical case A: ;B: ;C: ;D: 3 A:The tarsus and the superior margin of the tarsus;B:The suture stitch the orbicularis oculi muscle of the inferior incision margin, the superior margin of the tarsus and the orbicularis oculi muscle of the superior incision margin together;C:Before operation;D:3 months after operation 4 [1-3], , Park , , , , ( ) Park ( ) , , , , , 52%~69%, 31%~48% , [4] , , , [5-6] Park ( ) , , , - - , , , , , , , , , (1) , , , , , [7] , , , - , ; (3) [8-10], 1/3 , , , , , , , ; (4) , , , , , ; (5) - ( ) - 1 , , , , , [11], , 160 cm , 72 mm, , , , , , , , , , [1] . [M]. : , 1999:970-973. [2]Hwang HS, Spiegel JH.The effect of“single“vs“double“eyelids on perceived attractiveness of Chinese women[J].Aesthet Surg J, 2014, 34 (3) :374-382. [3]Lee CK, Ahn ST, Kim N.Asian upper lid blepharoplasty surgery[J].Clin Plast Surg, 2013, 40 (1) :167-178. [4] , , , . [J]. , 2004, 10 (6) :370-372. [5]Cho BC, Byun JS.New technique combined with suture and incision method for creating a more physiologically natural double-eyelid[J].Plast Reconstr Surg, 2010, 125 (1) :324-331. [6]Lam VB, Czyz CN, Wulc AE.The brow-eyelid continuum:an anatomic perspective[J].Clin Plast Surg, 2013, 40 (1) :1-19. [7]Lu L, Zhu M, Luo X, et al.Using levator aponeurosis to create physiologically natural double eyelid:a new reconstruction technique based on three key factors in double eyelid formation[J].Ann Plast Surg, 2017, 78 (5) :487-491. [8]Jeong S, Lemke BN, Dortzbach RK, et al.The Asian upper eyelid:an anatomical study with comparison to the Caucasian eyelid[J].Arch Ophthalmol, 1999, 117 (7) :907-912. [9]Hwang K, Kim DJ, Chung RS, et al.An anatomical study of the junction of the orbital septum and the levatoraponeurosis in Orientals[J].Br J Plast Surg, 1998, 51 (8) :594-598. [10]Kakizaki H, Takahashi Y, Nakano T, et al.The causative factors or characteristics of the Asian double eyelid an anatomic study[J].Ophthal Plast Reconstr Surg, 2012, 28 (5) :376-381. [11]Galdino GM, Vogel JE, Vander Kolk CA.Standardizing digital Surg, 2001, 108 (5) :1334-1344.
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