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E-PTFE补片增强眶隔膜在东方人下睑眼袋整复中的运用
引用本文:程健,姜方震,许凤芝,薛旦,曾炜.E-PTFE补片增强眶隔膜在东方人下睑眼袋整复中的运用[J].组织工程与重建外科,2007,3(3):157-161.
作者姓名:程健  姜方震  许凤芝  薛旦  曾炜
作者单位:浙江大学医学院附属二院整形外科, 浙江省杭州市310009
摘    要:目的报道一种Hamra下睑成形术的改良术式,通过临床病例分析探讨运用补片增强眶隔膜在整复东方人下睑眼袋及沟槽中的意义。方法在经下睑皮肤径路的下睑袋整形术中,当完成弓状缘释放、眶隔重置后.将修剪成月牙形的E—PTFE补片植入眶隔膜和眼轮匝肌下筋膜之间,适当固定以增强眶隔膜和眼睑中层。结果在本组102例中。对92例(其余10例失访)进行了随访,其中89例术后效果满意,维持时间长,2例术后发生了较长时间的水肿,约经2月自行消退。1例因为复发而再次手术。结论在Hamra术式中。通过E-PTFE补片植入增强眶隔膜.可有效地增加眼睑中层结构的力量.并调整和控制释放的眶脂量.防止眼袋复发。

关 键 词:膨体聚四氟乙烯  补片  眶隔膜  下睑眼袋  整复
文章编号:1673-0364(2007)-03-0157-05
修稿时间:2007-06-11

Application of E-PTFE as a Spacer Graft for Strengthening Orbital Septal in the Reconstruction of Oriental Lower Pelpebral Bulge
Authors:CHENG Jian  JIANG Fangzheng  XU Fengzhi  XUE Dan  ZENG Wei
Institution:Department of Plastic and Reconstructive Surgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Abstract:Objective To explore the application of E-PTFE as a spacer graft for strengthening orbital septal in the reconstruction of oriental lower pelpebral bulge. Methods Lower lid blepharoplasty via lower lid skin, combined arcus marginalis release and orbital repositioning. E-PTFE as a spacer graft was transplanted between orbital septal and fascia of under-orbicular muscle. Results Ninty two cases were followed up. The good function and cosmetic results were obtained without severe complications. Conclusion In the Hamra's operation, E-PTFE as a spacer graft was transplanted for strengthening orbital septal. It can strengthen the middle construction of lower lid and control the release of orbital fat. It can also prevent the recurrence of lower lid bulge.
Keywords:E-PTFE  Spacer graft  Orbital septal  Lower lid bulge  Reconstruction
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