组织工程与重建外科杂志2025，Vol.21Issue(2)：183-187,5.DOI:10.3969/j.issn.1673-0364.2025.02.013
一种矫正先天性轻、中度上睑下垂的手术方法
A surgical approach to correct the congenitally mild to moderate blepharoptosis
马强良 1侯萌萌 2刘菲 3杨军 3周显玉3
作者信息
- 1. 836100 新疆维吾尔自治区伊宁市 伊犁哈萨克自治州中医医院皮肤科
- 2. 740043 陕西省西安市 西安交通大学第二附属医院烧伤整形与创面修复科
- 3. 200011 上海市 上海交通大学医学院附属第九人民医院整复外科
- 折叠
摘要
Abstract
Objective To introduce a surgical method that not only for desirable correction of congenitally mild to moderate blepharoptosis but also achieve good-looking palpebral creases with a minimal scar.Methods To dissect and resect the levator aponeurosis-Müller's muscle complex,reposition the septal fat,and sandwich the complex top and septal fat into orbicularis oculi muscles with soft-soft linkage to correct blepharoptosis and form palpebral creases.Outcomes were evaluated by position change in the upper eyelid margin and double eyelid appearances pre-and post-operation.The overall subjective aesthetics in the eyes were evaluated by eyes symmetry,double eyelid appearances and incisional scar.Results A total of 54 patients(72 ptotic eyelids)were included in this study.Distance between palpebral superior margin and superior cornea edge was improved in both mild and moderate ptotic eyelids when compared their pre-and post-surgeries(P<0.05).86.12%eyelids achieved good correction.Satisfying symmetries between two eyes in the same patient were observed in 90.74%patients.Aesthetic outcomes in 94.44%patients were subjectively graded as good or moderate.Conclusion The method proposed in this paper is a desirable method for correction of the congenital mild to moderate blepharoptosis as well as formation of natural and beautiful double eyelids.关键词
上睑下垂/上睑提肌腱膜/眶隔脂肪/重置/软-软连接/重睑Key words
Blepharoptosis/Levator aponeurosis/Septal fat/Reposition/Soft-soft linkage/Double eyelid分类
医药卫生引用本文复制引用
马强良,侯萌萌,刘菲,杨军,周显玉..一种矫正先天性轻、中度上睑下垂的手术方法[J].组织工程与重建外科杂志,2025,21(2):183-187,5.
