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目的探讨上睑中外1/3处独立小切口去除部分眶隔脂肪后,再结合埋线法上睑成形术的手术方法、适应症、临床效果及注意事项。方法分别于双眼上睑中外1/3处设计一长约1mm小切口,通过此切口利用显微外科手术器械切除多余的外眦部眶隔脂肪,然后行埋线重睑成形术。结果此法临床应用于15例上睑有不同程度臃肿的患者,手术后患者眼部肿胀轻微,恢复快,不影响正常工作学习。随访3个月～1年,重睑皱襞牢固自然,无线结外露,无明显手术疤痕,患者满意。结论独立上睑中外1/3处小切口除眶脂后再结合埋线法重睑成形术系微创手术,操作精细,创伤小,重睑皱襞形成自然,没有明显手术痕迹,更适合现代人的美容要求。此法扩大了埋线手术适应证范围,尤其适用于有轻度或中度“肿眼泡”表现的患者。
Objective To investigate the surgical methods, indications, clinical effects and precautions of upper eyelid surgery with partial incision of the orbitoflageloma at 1/3 middle and small external incisions. Methods A small incision with a length of 1 mm was designed at the middle and the outer 1/3 of the upper eyelid of the two eyes. The extrafascal orbital fat was removed by microsurgical surgical instruments through this incision, and the double line eyelidoplasty was performed. Results This method was applied clinically in 15 patients with bloated upper eyelid to varying degrees. After operation, the patient had mild swelling in the eye and recovered rapidly without affecting the normal work and study. Follow-up 3 months to 1 year, double eyelid fold 襞 solid, natural, wireless knot exposed, no obvious surgical scar, patient satisfaction. Conclusion One third of the upper and lower incisions in the upper and lower eyelids were treated with orbital fat and combined with embedding method. The operation of double eyelid plasty was minimally invasive, with fine operation, small trauma and double eyelid fold formation. There was no obvious surgical signs and was more suitable for modern people Beauty requirements. This method expands the scope of embedding surgery indications, especially for patients with mild or moderate “swollen ” performance.