中国美容医学2024，Vol.33Issue(9)：5-8,4.
先天性轻度上睑下垂患者眶隔后壁-上睑提肌复合体折叠术后矫正及美学效果分析
Analysis of Correction Effect and Aesthetic Effect after Posterior Orbital Septum-levator Muscle Complex Plication Surgery in Patients with Congenital Mild Ptosis
李建学 1薛涵 1李翔 1孙胜广1
作者信息
- 1. 亳州市人民医院烧伤整形科 安徽 亳州 236800
- 折叠
摘要
Abstract
Objective To explore the correction effect and aesthetic effect after posterior orbital septum-levator muscle complex plication surgery in patients with congenital mild ptosis.Methods 84 patients with unilateral congenital mild ptosis diagnosed and treated in the author's hospital from April 2020 to April 2023 were selected as the research subjects.They were divided into control group(shortening of the levator palpebrae superioris muscle)and observation group(posterior orbital septum-levator muscle complex plication surgery)according to the surgical method,with 42 cases in each group.The binocular correction effects,eyelid physiological functions,aesthetic scores,upper eyelid retraction amount and postoperative complications were compared between the two groups.Results The total effective rate of the observation group was 90.48%(38/42),which was higher than the control group,73.81%(31/42)(P＜0.05).The upper eyelid mobility in both groups was higher than before surgery,and the observation group was higher than the control group(P＜0.05).The aesthetic score of the observation group 3 months after surgery was higher than that of the control group(P＜0.05).The height of palpebral cleft in the observation group was lower than that in the control group at 3 months after operation(P＜0.05).There were statistically significant differences in the intergroup,time and interaction of upper eyelid shrinkage between the two groups(P＜0.05),the amount of upper eyelid retraction in the two groups increased sequentially at 1 week,1 and 3 months after surgery.The amount of upper eyelid retraction in the observation group at 1 and 3 months after surgery were lower than that in the control group(P＜0.05).The total incidence rate of postoperative complications in the observation group was 4.76%(2/42),which was lower than 21.43%(9/42)in the control group(P＜0.05).Conclusion Posterior orbital septum-levator muscle complex plication surgery can effectively improve the physiological function of the eyelids in patients with congenital mild ptosis,and the correction and aesthetic effects are better than those of levator muscle shortening surgery,and the safety is good.关键词
上睑下垂/眶隔后壁-上睑提肌复合体折叠术/上睑提肌缩短术/矫正效果/美学评分Key words
ptosis/posterior orbital septum-levator complex plication/levator shortening surgery/correction effect/aesthetic score分类
医药卫生引用本文复制引用
李建学,薛涵,李翔,孙胜广..先天性轻度上睑下垂患者眶隔后壁-上睑提肌复合体折叠术后矫正及美学效果分析[J].中国美容医学,2024,33(9):5-8,4.
