上睑成形术治疗睑松弛症

目的　探讨睑松弛症与上睑皮肤松垂症的鉴别诊断与手术要点。方法　根据上睑解剖特点,利用改良的上睑成形术治疗睑松弛症。结果　手术治疗睑松弛症15例,随访2～5年,治愈率93%。结论　睑松弛症与上睑皮肤松垂症临床常易混淆,明确诊断后应用改良手术方法治疗,效果确切,复发率低。     

上睑成形术治疗睑疗松驰症

探讨睑松驰症与上睑皮肤松垂症的鉴别诊断与手术要点。方法 根据上睑解剖特点,利用改良的上睑成形术治疗睑松驰症。结果 手术治疗睑松驰症15例,随访2－5年,治愈率93％。结论 睑松驰症与上睑皮肤松垂症临床常易混淆,明确诊断后应用改良手术方法治疗,效果确切,复发率低。     

伴泪腺脱垂的上睑皮肤松垂症的手术治疗

目的 探讨上睑皮肤松垂症的病理特征和美容外科治疗方法。方法 按照切开法重睑成形术设计手术切口；将脱垂的泪腺复位于眶外上方的泪腺窝内，然后酌情去除上睑松弛之皮肤和部分眼轮匝肌，以及疝出之眶隔脂肪，并形成满意的重睑形态。结果 自1998～2002年，共治疗23例46只眼，临床症状明显改善或消失，重睑形态满意。结论 对上睑皮肤松垂症应有全面认识，治疗重点是泪腺的复位和眼睑形态的重新塑造；同期行重睑成形术，可实现功能治疗与美容效果的双重目的。     

重睑成形术和眉上提术矫正上睑皮肤松弛

人开始衰老以后，上睑皮肤出现不同程度的松弛下垂，轻者遮盖自然的重睑线，重者形成老年性三角眼，不仅影响美观，严重者遮盖视野，影响视力。上睑皮肤松垂的矫正手术可分为二类：一是重睑成形术去除上睑松弛的皮肤，二是眉上提术矫正上睑皮肤松垂。笔者根据患者的眉部具体情况，分别采用两种不同方法矫正上睑松弛症状，均获得了良好的效果。     

改良三点式重睑术与传统重睑术治疗上睑皮肤松弛的疗效对比

目的:比较改良三点式重睑术与传统重睑术治疗上睑皮肤松弛的疗效。方法:选取2008年3月至2011年3月我院收治的上睑皮肤松弛患者60例,作为研究对象,随机分为观察组和对照组各30例,观察组采用改良三点式重睑术方法,对患者重睑处眼轮匝肌进行切口处理,具体为内、中、外三个部分;对照组采用传统重睑治疗方法。比较两组患者治疗前及治疗后上睑皮肤松弛临床疗效、并发症和患者满意程度。结果:两组患者治疗后上睑皮肤松弛症状均有改善,但观察组治疗后效果更自然,恢复时间短,观察组满意率为90.0%,对照组为76.7%,两组比较差异明显,P0.05,具有统计学意义。结论:改良三点式重睑术治疗上睑皮肤松弛满意率高,比传统重睑术治疗方法更具有临床应用的实际意义。     

上睑松弛局部除皱术360例

在临床上我们发现 ,成年女性一般在 30岁左右 ,上睑皮肤即开始松弛 ,且随年龄增加 ,松弛逐渐加重[1] 。我们自1991年起 ,根据不同眼睑类型及眼睑松弛情况 ,分别采用 3种手术方法施行上睑松弛局部除皱 ,疗效满意 ,现报道如下。一、对象和方法1.对象 :36 0例均为女性 ,年龄 2 7～ 71岁 ,其中单纯上睑皮肤松弛 2 6 1例 (轻度 ) ,上睑皮肤松弛伴外眦角松垂、鱼尾纹加深 4 7例 (中度 ) ,上睑皮肤松弛伴眉下垂 5 2例 (重度 )。36 0例中 ,11例曾行面部除皱术 ,176例曾行几种方法的重睑成形术 ,14 2例行眉文饰术。2 .手术方法 :⑴上睑皮肤切除并重睑…     

浅谈老年性上睑松垂和下睑袋的美容外科治疗

目的总结治疗老年性上睑松垂和下睑袋的临床经验。方法对本组24例,年龄在61～73岁表现有老年性上睑松垂者,经充分的术前准备,对无手术禁忌证者,根据具体情况采用相应的上睑松垂成形术或(和)下睑袋修复术,结合眼轮匝肌瓣眶骨膜悬吊等步骤进行手术治疗,术后部分受术者随访1年以上。结果随访结果显示,所有受术者的眼睑外形已有明显改善,但局部皮肤的皱纹仍然存在,眼角的鱼尾纹还较明显。结论睑皮肤松垂成形术和下睑袋修复术适用于治疗老年性睑皮肤松垂和下睑袋症,但必须结合眼轮匝肌瓣眶骨膜悬吊术等步骤,术后效果满意。     

小切口额眉提紧术联合重睑术治疗中重度上睑皮肤松垂症

目的探讨小切口额眉提紧术联合重睑术治疗中重度上睑皮肤松垂症的方法及疗效。方法采用小切口额部提紧术联合重睑术治疗中重度眼睑皮肤松垂症25例,通过发迹内或发迹缘小切口行帽状腱膜下剥离,眉毛及发迹缘行埋没导引缝合悬吊额眉部软组织,额眉组织提升后再行重睑成形术。结果本组切口平均0.9(0.8～1.0)cm,术后5～10d消肿,术后1月眼部形态恢复,额眉眼比例恢复。无一例大血肿、皮肤坏死等并发症。术后平均随访32个月(3个月～6年),所有患者上眼睑皮肤提紧,手术疤痕不明显。结论小切口额眉提紧术联合重睑术治疗中重度上睑皮肤松垂症简单、有效,不需特殊设备,在解除眼部症状的同时,又能达到良好的美容效果。     

改良延长重睑切口在中重度上睑松弛治疗中的体会

目的介绍改良延长重睑切口在矫正中重度上睑松弛中的应用效果。方法自2016年12月至2017年12月,对74例中重度上睑松弛患者行改良延长重睑切口上睑松弛矫正术。设计重睑切口延长至眉尾,沿重睑切口线去除外眦稍内侧处较多的皮肤及眼轮匝肌脂肪层。结果本组74例患者获随访3～24个月,上睑皮肤松弛均得以矫正,改善了上睑外观与功能,无明显瘢痕和上睑闭合不全等并发症发生。结论改良延长重睑切口上睑松弛矫正术对中重度上睑松弛患者改善明显,值得临床推广。     

老年性上睑松垂和下睑袋的美容外科治疗

目的 总结在过去10年中治疗老年性上睑松垂和下睑袋的临床经验。方法 对本组24例，年龄在61～73岁表现有老年性上睑松垂者，经充分的术前准备，对无手术禁忌证者，根据具体情况采用相应的睑松垂成形术或(和)下睑袋修复术，结合眼轮匝肌瓣眶骨膜悬吊等步骤进行手术治疗，术后部分受术者随访1年以上。结果 随访结果显示，所有受术者的眼睑外形已有明显改善，但局部皮肤的皱纹仍然存在，眼角的鱼尾纹还较明显。结论 睑皮肤松垂成形术和下睑袋修复术适合于治疗老年性睑皮肤松垂和下睑袋症，但必须结合眼轮匝肌瓣眶骨膜悬吊术等步骤，术后效果满意。     

Bilateral eyelid edema: cutis laxa or blepharochalasis?

A 59-year-old woman with massive bilateral edema of the upper and lower eyelids is presented. The edema occurred suddenly and without provocation. No cause could be identified despite a multitude of examinations. Initially the patient was diagnosed as having blepharochalasis, but later skin biopsy suggested an acquired form of cutis laxa. Most likely the cutis laxa was a result of angio-edema. Pharmacological treatment was not successful, but surgical intervention provided an acceptable result. The differential diagnosis of periorbital edema is discussed with special attention to cutis laxa, angio-edema, and blepharochalasis.     

眼睑松弛症合并泪腺脱垂的手术治疗

目的：探讨眼睑松弛症合并泪腺脱垂的病理特征和手术治疗方法.方法：按照切开法重睑成形术设计手术切口.将脱垂的泪腺复位于眶外上方的泪腺窝内,然后酌情去除上睑松弛皮肤和部分眼轮匝肌,以及疝出之眶隔脂肪,并形成满意的重睑形态.另取上睑组织作组织学检查.结果：自2001～2004年,共治疗15例（30只眼）,临床症状明显改善或消失,重睑形态满意.2例（3眼）残留部分泪腺脱垂.组织学检查显示病变区皮下灶性淋巴细胞浸润,弹力纤维断裂崩解.结论：眼睑松弛症的发生与慢性炎症有关,治疗重点是通过手术泪腺复位和行重睑成形术改善眼睑形态.     

Unilateral blepharochalasis

We present two unique cases of unilateral blepharochalasis. Blepharochalasis is an idiopathic disorder of young adults manifested by intermittent, recurrent episodes of eyelid edema. After repeated episodes of swelling, the periorbital tissue develops premature aging with thinned, redundant skin and stretching of the eyelid tendons. Blepharochalasis is considered bilateral; unilateral cases are extremely rare. Ptosis surgery in these cases may be unpredictable due to alterations in the levator aponeurosis. Simple reattachment of the apparent edge of the disinserted levator aponeurosis may cause significant overcorrection and variations in postoperative eyelid heights. Our two unilateral cases demonstrated proptosis on the affected side, and prominent vessels in the levator aponeurosis and suborbicularis muscle planes, plus vascular changes in orbital fat in one case. Blepharochalasis therefore may be an orbital rather than a periorbital disease, as suggested previously. Proptosis is probably overlooked in the usual bilateral cases. When all other causes of unilateral swelling have been ruled out and the findings are consistent with blepharochalasis, this diagnosis should be considered.     

眉上提术在眼睑部整形中的应用

目的　解决眼睑松弛、眼眉下垂所至的容貌老态和功能障碍 ,如眼睑皮肤肌肉松弛、眼睑皱襞形成、眶隔脂肪松垂、倒睫、眼裂外下斜、眉梢下垂或眉形不美等。方法　通过眼轮匝肌悬吊进行眉上提术或联合重睑术式来进行眼睑整体的修复。结果　对 5 6例患者进行治疗 ,眼睑部修整与眼眉上提及眉形修整均得到满意效果。结论　应用眉上提术能解决以上所有老态或先天畸形 ,功能得到改善并达到持久的眼睑美化、年轻化 ,并且无并发症。     

Double lip in a patient with Ascher’s syndrome

Ascher’s syndrome is a rare disease which was first described by Ascher [1], an ophthalmologist from Prague, in 1920. His careful examinations of mostly young patients brought to light three more or less consistently associated abnormalities: double upper lip, blepharochalasis and enlargement of the thyroid. Of the patients with congenital double upper lip reported in the literature [1–15], about 50% presented with Ascher’s syndrome. To date, just over 100 cases have been described. As with other syndromes, one or the other abnormality may predominate or be absent. A case of a patient with double lip and blepharochalasis is presented. Received: 25 February 1998 / Accepted: 17 March 1998     

Unilateral blepharochalasis.

Unilateral blepharochalasis is an extremely rare disorder with an unknown etiology and pathogenesis. The authors present a 22-year old patient in whom a right-sided skin overhang of the upper eyelid caused visual field impairment. The condition was corrected by a standard blepharoplasty. The histological examination suggested a localised anomaly of the lymphatic system and an almost complete absence of elastic fibres as the causative agent.     

Ascher syndrome: Review of literature and case report

A 13 year old girl presented with aesthetic deformity of upper lip since birth. She also presented with eyelid swelling on and off for 11 months. She was diagnosed to be a rare case of Ascher syndrome. Ascher syndrome commonly presents with double lip and blepharochalasis, sometimes associated with goitre. The deformity of her double upper lip was corrected by appropriate surgery. Because her blepharochalasis is in active stage now, she is under periodic follow up for appropriate intervention. This article describes the management of the patient and brief overview of the syndrome. Ascher syndrome is often missed or misdiagnosed commonly.