Z 成形术联合内眦部眼轮匝肌切除矫正内眦赘皮的临床效果

目的 比较Z成形术联合内眦部眼轮匝肌切除矫正法与切开法重睑成形术在内眦赘皮中的应用效 果。方法 选取2023年1月-6月桦甸菲阳医疗美容诊所收治的80例内眦赘皮患者作为研究对象,根据治疗 方法不同分为对照组和观察组,各40例。对照组行切开法重睑成形术,观察组行Z成形术联合内眦部眼轮 匝肌切除矫正法,比较两组睑裂长度（HLFL）、内眦间距（ICD）、睑裂长度和内眦间距比值（HLFL/ ICD）、并发症发生率、手术满意度。结果 观察组手术后HLFL、HLFL/ICD大于对照组,ICD小于对照组 （P ＜0.05）;观察组并发症发生率为2.50%,低于对照组的17.50%（P ＜0.05）;观察组满意度为97.50%, 高于对照组的77.50%（P ＜0.05）。结论 采用Z成形术联合内眦部眼轮匝肌切除矫正法治疗内眦赘皮,可 以增大睑裂长度、内眦间距,使睑裂长度和内眦间距比值更符合面部美学比例,且能减少并发症发生几 率,提高满意度,值得应用。     

双层瓦合眼轮匝肌肌瓣法行眼袋切除术的临床效果

目的 分析在眼袋切除术患者治疗期间采用双层瓦合眼轮匝肌肌瓣的临床效果。方法 选择2021年5月-2022年5月于我院接受眼袋切除术的84例患者为研究对象,按照随机数字表法分为对照组与研究组,每组42例。对照组采用传统下睑皮肤入路治疗,研究组采用双层瓦合眼轮匝肌肌瓣治疗,比较两组临床疗效、美学评分以及不良反应发生情况。结果 研究组治疗总有效率为97.62%,高于对照组的83.33%（P＜0.05）;研究组治疗后美学评分高于对照组（P＜0.05）;研究组不良反应发生率为2.38%,低于对照组的16.67%（P＜0.05）。结论 双层瓦合眼轮匝肌肌瓣法行眼袋切除术效果确切,术后美观度较高,且不会增加不良反应发生几率,值得临床应用。     

皮肤轮匝肌切除联合眼轮匝肌缩短术治疗退行性下睑内翻的临床效果

目的 探讨对退行性下睑内翻患者采用皮肤轮匝肌切除联合眼轮匝肌缩短术治疗的效果。方法选取威海市立第二医院眼科2021年1月-2022年9月收治的66例退行性下睑内翻患者为研究对象,采用随机数字表法分为对照组和观察组,每组33例。对照组给予眼轮匝肌缩短术治疗,观察组给予皮肤轮匝肌切除联合眼轮匝肌缩短术治疗,比较两组眼部症状评分及手术满意度评分。结果 两组术后3个月OSDI评分均低于术前,且观察组低于对照组（P＜0.05）;观察组对外形美观、倒睫矫正、瘢痕外观、双眼对称、舒适度的满意度评分均高于对照组（P ＜0.05）。结论 皮肤轮匝肌切除联合眼轮匝肌缩短术治疗退行性下睑内翻的临床效果良好,具有美观度高、疗效好等特点,可有效改善患者的眼部症状,提高手术满意度,值得临床应用。     

Treatment of Orbicularis Oculi Muscle Hypertrophy in Lower Lid Blepharoplasty

Treatment of orbicularis oculi muscle hypertrophy during conventional lower eyelid blepharoplasty is presented. Horizontal resection of a strip of the hypertrophic muscle is carried out, which allows flattening of the muscular bulge in an anteroposterior direction. Since no full-thickness vertical reduction is performed, this simple procedure is ``free' from the risk of ``scleral show' deformity, due to excessive muscle shortening, leaving a pleasant contour in the lower eyelid. The technique has been successfully employed in 27 cases of blepharoplasty, with separate skin and muscle flaps.     

Upper-Lip Augmentation by Graft of Preseptal Orbicularis Oculi Muscle Through Blepharoplasty

Background  

Upper-lip augmentation is used to enhance a thin upper lip or correct lip deficiencies or senile hypotrophy. We describe an easy, effective, and reproducible technique.     

眼睑埋线法与眼轮匝肌切除术对于老年性睑内翻的临床疗效

目的 观察眼睑埋线法与眼轮匝肌切除术用于老年性睑内翻的临床疗效。方法 选取2019年1月-2022年6月南京市溧水区人民医院收治的老年性睑内翻择期手术患者40例（62眼）为研究对象,采用随机数字表法分为对照组和观察组,每组20例。对照组采用眼轮匝肌切除术,观察组采用眼睑埋线法,比较两组泪膜破裂时间（BUT）、泪液分泌试验（SIt）、角膜荧光染色（CFS）、复发情况及并发症发生情况。结果 两组术后1、3个月BUT、SIt高于术前,CFS低于术前（P ＜0.05）;两组BUT、SIt、CFS比较,差异无统计学意义（P ＞0.05）;两组复发率比较,差异无统计学意义（P ＞0.05）;两组均未出现眼睑感染、下睑分离、下睑欠矫或过矫等严重并发症。结论 针对老年性睑内翻患者,通过眼睑埋线法与眼轮匝肌切除术治疗均可改善其眼表状态,提高眼表泪膜稳定性,但眼睑埋线法操作更简单,无需拆线,患者舒适感较高。     

Restoration of Paralyzed Orbicularis Oculi Muscle Function by Controlled Electrical Current

A canine model of facial nerve paralysis was studied to apply controlled electrical current to the peripherally denervated orbicularis oculi muscle, in the attempt to effectively restore the absent function of this denervated muscle. After unilateral facial nerve neurotmesis was performed in eight dogs, the denervated orbicularis oculi muscles of four dogs were electrically stimulated for 75 postoperative days (40 min/day). Denervated and normal orbicularis oculi muscles were electrophysiologically studied and compared with the Student t test. During the study period, minimum closure of denervated treated orbicularis oculi muscles was evoked with average stimulus strength (80-ms duration) of 1.61 ± 0.22 log mA × ms. not significantly different from that of denervated nontreated or normal orbicularis oculi muscles. From days 10 through 30 only, maximum closure of denervated treated orbicularis oculi muscles was achieved with mean pulse strength (80-ms duration) of 2.37 ± 0.09 log mA × ms, significantly lower (P <. 01) than that evoking the same type of contraction from denervated nontreated muscles (80-ms duration, mean 2.83 ± 0.10 log mA × ms). In addition, denervated treated muscle pulse strength eliciting maximum contraction was not significantly different from that of normal orbicularis oculi muscles during the same period. This finding was not observed, however, from day 40 through the end of the study. This investigation demonstrates (1) the transient reversal of denervation changes of paralyzed orbicularis oculi muscle by daily electrical stimulation, and (2) the feasibility of restoring orbicularis oculi muscle function by controlled electrical current.     

皮肤轮匝肌切除联合眼轮匝肌缩短术治疗退行性下睑内翻

目的:探究皮肤轮匝肌切除联合眼轮匝肌缩短术对退行性下睑内翻矫治的临床疗效.方法:随机选取笔者医院123例退行性下睑内翻患者为研究对象,按照随机数字表法分为观察组和对照组.对照组(n=61)行眼轮匝肌缩短术治疗,观察组(n=62)行皮肤轮匝肌切除联合眼轮匝肌缩短术治疗.比较两组矫治效果、围术期指标、眼部症状评分、术后并发...     

双极电凝直视下眼轮匝肌紧缩术在眼袋整形手术中的应用价值分析

目的 观察眼袋整形手术中双极电凝直视下眼轮匝肌紧缩术的应用疗效方法 选择2021年 1月-2021年8月在本院进行眼袋整形手术治疗的110例患者作为观察对象。根据随机表法分为常规组及研究组,各55例。常规组行传统眼袋切除术,研究组行双极电凝直视下眼轮匝肌紧缩术。比较两组手术疗效、 治疗满意度、眼部症状评分、并发症发生率、生活质量评分结果 研究组手术疗效、满意度、生活质量评分均高于常规组,眼部刺激感、畏光、异物感等症状评分低于常规组(P＜0.05);两组并发症发生率比较,差异无统计学意义(P＞0.05)结论 双极电凝直视下眼轮匝肌紧缩手术疗效可靠、高效、安全, 能够减轻对患者眼部的不良影响,提高患者整形满意度,改善患者生活质量。     

保留眼轮匝肌三点固定切开法重睑术的临床应用

目的:探寻一种恢复快、效果稳定自然、操作简便的重睑手术方法。方法:沿设计好的重睑线切开皮肤全层后,保留眼轮匝肌,并通过眼轮匝肌不连续微切口,将眼轮匝肌与上睑提肌腱膜固定,然后间断缝合皮肤,术后观察临床效果。结果:本组共105例就医者,术后效果均较好,术后7~14d基本恢复自然,不良反应轻微,手术操作简单易行,就医者及医生均较满意。结论:保留眼轮匝肌的三点固定切开法重睑术是简单高效的手术方法。     

改良眼轮匝肌缩短术对于老年性下睑内翻合并皮肤松弛患者的治疗效果

目的 探析眼轮匝肌缩短术治疗老年性下睑内翻合并皮肤松弛的临床效果。方法 选取2022 年12月-2023年12月于我院治疗的60例老年性下睑内翻合并皮肤松弛患者作为研究对象,采用随机数字表 法分为参照组和试验组,各30例。参照组行传统眼轮匝肌缩短术治疗,试验组行改良眼轮匝肌缩短术治 疗,比较两组临床疗效、眼部症状评分及并发症发生情况。结果 试验组治疗总有效率为93.33%,高于参 照组的76.67%（P ＜0.05）;试验组治疗后眼部畏光、流泪、刺激感以及异物感症状评分均低于参照组（P ＜0.05）;试验组并发症发生率为3.33%,低于参照组的16.67%（P ＜0.05）。结论 改良眼轮匝肌缩短术治 疗老年性下睑内翻合并皮肤松弛的效果更佳,能有效改善患者术后眼部的不适症状,降低术后并发症发生 几率,值得应用。     

口轮匝肌瓦合法在修复单侧唇裂继发畸形中的应用

目的 探讨单侧唇裂术后继发畸形的患侧人中嵴的重建方法.方法 本组对36例单侧唇裂术后患侧人中嵴不显或凹陷的患者施行二期唇裂整复术时,在口轮匝肌功能复位的基础上,行瓦合法缝合修复患侧人中嵴处口轮匝肌,造成患侧人中嵴处口轮匝肌增厚,形成隆起的人中嵴外观.结果 本组36例患者经过人中嵴重建修复后,随访3～6个月,重建人中嵴形态逼真,术后形态满意.结论 单侧唇裂术后继发畸形整复时,在口轮匝肌功能复位的前提下,行人中嵴处口轮匝肌瓦合法缝合,使人中凹显现,重建人中嵴,可使上唇外形更为逼真、生动,值得临床推广应用.     

Liposuction and Suspension of the Orbicularis Oculi for the Correction of Persistent Malar Bags: Description of Technique and Report of a Case

Background

The purpose of this study was to present an alternative surgical procedure for the correction of persistent malar bags and to review the literature.

Methods

A 45-year-old female patient with persistent malar bags, secondary to previous blepharoplasty, was admitted. Liposuction of the edema and suspension of the orbicularis muscle to the temporal region was performed through a lateral canthal incision.

Results

A successful malar bag removal was demonstrated, exhibiting stable results at the 6-month follow-up.

Conclusion

Persistent malar bags resulting from previous blepharoplasty may be difficult to correct with conventional treatment. The combination of liposuction and suspension of the orbicularis oculi is proposed as an efficient alternative for the correction of persistent malar bags.     

基于park法理论的下睑内翻手术与眼轮匝肌缩短术治疗老年性下睑内翻倒睫的效果比较

目的 比较老年性下睑内翻倒睫分别应用基于park法理论的下睑内翻手术与眼轮匝肌缩短术治疗 的效果。方法 选取我院2021年12月-2022年12月收治的100例（169眼）老年性下睑内翻倒睫患者为研究对 象,随机分对照组（84眼）和观察组（85眼）,每组50例。对照组应用眼轮匝肌缩短术治疗,观察组应用 基于park法理论的下睑内翻手术治疗,比较两组矫正效果及眼部症状评分。结果 两组矫正效果比较,差 异无统计学意义（P＞0.05）;两组术后1周及术后1、3个月的OSDI评分均低于术前,差异有统计学意义 （P＜0.05）;但两组术后1周及术后1个月的OSDI评分比较,差异无统计学意义（P＞0.05）;观察组术后3个 月的OSDI评分低于对照组,差异有统计学意义（P＜0.05）。结论 两种方法治疗老年性下睑内翻倒睫的效果 均良好,但相比于眼轮匝肌缩短术,基于park法理论的下睑内翻手术对患者眼部症状的远期改善效果更为理想。     

Bipedicle Orbicularis Oculi Flap in the Reconstruction of the Lower Eyelid Ectropion

Background Lower eyelid ectropion is conventionally reconstructed with a local flap or full-thickness skin graft. However, scar contracture and recurrence of ectropion often occur. This article describes an effective surgical technique for lower eyelid ectropion repair using a bipedicle orbicularis oculi muscle or myocutaneous flap from the upper eyelid. Methods This study prospectively analyzed collected data on the bipedicle orbicularis oculi muscle or myocutaneous flap from the upper eyelid in reconstruction of lower eyelid ectropion between 1995 and 2004. The flap was used in 12 eyelid procedures for the correction of lower eyelid ectropion, in 10 cases with traumatic ectropion, and in 1 case with bilateral congenital ectropion. In these cases, a strip of orbicularis oculi muscle or a myocutaneous flap from the upper eyelid with two pedicles attached in the medial and lateral canthus was advanced to the lower eyelid to suspend the eyelid and repair the skin defect. Results No problem of flap viability was encountered in any of the patients, and all healed well. Deformities were corrected, and evaluation showed satisfactory function and appearance during 0.5 to 6 years (average, 2 years) of follow-up evaluation. Eyelid malposition and bulkiness of the lower eyelid occurred in the early stages, but disappeared gradually about 3 months after the operation. There was no flap contraction, recurrent deformity, or significant donor site morbidity in the follow-up period. The incision scars were almost invisible. Conclusions The application of bipedicle orbicularis oculi muscle or a myocutaneous flap from the upper eyelid in reconstruction of lower eyelid ectropion is effective and reduces postoperative morbidity.     

眶内侧骨膜折叠联合眼袋皮瓣法在治疗中老年皮肤及肌肉松弛膨出型的效果

目的 探究对面中部松弛合并眼袋患者应用眶隔折叠联合皮瓣法眼袋矫正术治疗的效果。 方法 选择2021年6月-2022年6月我院收治的82例中老年皮肤轮匝肌松弛型睑袋膨出患者为研究对 象,按随机数字表法分为传统组和改良组,每组41例。传统组采用皮瓣法眼袋矫正术治疗,改良组采用 眶隔折叠联合皮瓣法眼袋矫正术治疗,比较两组手术效果、治疗满意度及并发症发生情况。结果 改良 组治疗优良率为97.56%,高于传统组的85.37%（P ＜0.05）;改良组治疗满意度为92.68%,高于传统组的 73.17%（P ＜0.05）;改良组并发症发生率为2.44%,低于传统组的14.63%（P ＜0.05）。结论 对中老年皮 肤轮匝肌松弛型睑袋膨出患者应用眶隔折叠联合皮瓣法眼袋矫正术治疗的效果良好,且治疗后不良反应发 生几率较低,患者满意度较高,值得临床应用。