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文章报告了244例眼睑缺损或畸形病例的手术治疗方法及效果评价。烧伤后眼睑皮肤缺损的修复应尽早进行,以预防睑外翻及其它畸形的发生。下眼睑全层缺损可应用颊部旋转推进皮瓣或Tenzel皮瓣。睑板缺损以鼻隔软骨植入再造为好。自正常眼睑切取眼睑复合组织,带蒂或游离移植修复眼睑缺损宜慎重。眦角成形一般应留待上、下睑畸形矫正或缺损修复之后进行 相似文献
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异体巩膜移植替代睑板重建眼睑 总被引:4,自引:1,他引:3
目的 探讨异体巩膜移植替代睑板重建眼睑的临床效果。方法 1986年5月~2001年1月对45例部分眼睑缺损患者,采用异体巩膜替代睑板行眼睑重建。其中男31例,女14例,上睑18例,下睑27例;累及上或下眼睑内眦都9例,外眦都7例,眼外伤22例,眼睑肿瘤23例。眼睑缺损不超过眼睑总长度的1/2。术后观察重建眼睑的外观、功能及并发症。结果 45例移植异体巩膜行眼睑重建均获成功。术后随访11~38个月,平均19.7个月。重建的眼睑完整,双侧眼睑长度及高度差值均小于2mm。眼睑开闭及上提功能基本正常,对视功能无影响。结论 异体巩膜是替代睑板行眼睑重建的理想材料。 相似文献
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Methods of anastomosing small blood vessels are presented, together with an account of the authors' own experiences in the field of microvascular surgery. Practical suggestions are made to avoid pitfalls. The modern literature on experimental and clinical applications of microvascular technique in plastic and reconstructive surgery is reviewed. An extensive bibliography is offered as an aid to the interested reader. 相似文献
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眼睑恶性肿瘤切除术后自体硬腭黏膜移植眼睑再造 总被引:5,自引:0,他引:5
目的 眼睑恶性肿瘤切除术后采用自体硬腭黏膜替代眼睑后层进行眼睑再造,并对其临床效果进行评价。方法1998年1月~2003年10月,对18例(18眼睑)患者行眼睑恶性肿瘤切除术后,局部旋转移位皮瓣或游离皮瓣联合自体硬腭黏膜替代眼睑后层的眼睑再造术。其中男10例,女8例,年龄35~67岁。18例均为重度眼睑缺损,其中眼睑全部缺损12例,2/3眼睑缺损6例。眼睑基底细胞癌10例,睑板腺癌6例,眼睑鳞状细胞癌2例。结果18眼睑术后外观及功能基本恢复正常,闭合完全,无内外翻。术后随访6个月~4年,平均3年2个月,眼睑形态及功能保持稳定,无植片感染及挛缩,无免疫排斥反应,无肿瘤复发。结论自体硬腭黏膜代替眼睑后层作眼睑恶性肿瘤切除术后的眼睑重建术,是一种简便易行、取材方便、术后并发症少、临床效果满意的眼睑再造术,硬腭黏膜优于传统的眼睑后层替代材料。 相似文献
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M.H.J. Hollander M. Contini J.W. Pott A. Vissink R.H. Schepers J. Jansma 《Journal of plastic, reconstructive & aesthetic surgery》2019,72(2):294-309
Objective
Various functional outcomes after upper blepharoplasty are reported in the literature. We systematically reviewed the literature to assess the objective and subjective functional effects of upper blepharoplasty.Methods
After a systematic search of four search engines (Pubmed, Embase, Cinahl and Cochraine), any study on objective and subjective (patient reported) functional outcome after upper blepharoplasty was subjected to a quality assessment for possible inclusion in the review. The intervention was defined as a solitary surgical upper blepharoplasty containing the removal of skin, with or without the removal of a strip of orbicularis oculi muscle and/or upper orbital fat. Eligible studies were randomized controlled trials, controlled trials, cohort studies and case series (n?≥?10).Results
A total of 3525 studies were assessed, of which 28 studies were included in this systematic review. Favorable outcomes after an upper blepharoplasty were reported and included enlarged visual field, enhanced quality of life related to fewer headaches and improved vision. Furthermore, sensitivity of the eyelids decreased, with differences in recovery. Outcomes for eyebrow height, astigmatism, contrast sensitivity and eyelid kinematics were not consistent between the studies. No meta-analysis could be performed due to the limited scope of included studies and the great variety in outcomes and blepharoplasty techniques.Conclusions
Upper blepharoplasty is accompanied by a great variety of beneficial functional outcomes including an increased visual field and improvement in headache- and vision-related quality of life. Further research is needed, especially where results are conflicting (effects on eye dryness and eyebrow height) and/or the data are limited (contrast sensitivity, astigmatism). 相似文献7.
李军 《中国美容整形外科杂志》2014,25(9)
目的 探讨各种原因致不同程度眼睑缺损、畸形修复的有效方法.方法 收集自2010年2月至2013年2月,因各种原因所致不同程度眼睑缺损的患者150例150眼,对其临床资料进行回顾性分析.对眼睑缺损范围<睑裂长度1/4者72只眼,>1/4或<1/2者57只眼,>1/2者21只眼,分别采用直接拉拢缝合法,联合滑行、转位、游离皮瓣修复眼睑缺损.结果 术后随访1~24个月,1例因恶性肿瘤复发而再行肿瘤切除术后,发生下睑退缩致闭合不全,其余149例均获Ⅰ期愈合,眼睑局部皮瓣全部成活,眼睑形态良好,睑缘位置正常,眼睑功能正常.结论 对各种原因所致眼睑缺损、畸形的患者,采用不同眼睑重建方法,灵活应用异体巩膜、结膜、黏膜等生物材料及各种皮瓣转移法修复缺损创面,可有效恢复眼睑的结构和形态,值得临床推广应用. 相似文献
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目的探讨局部皮瓣修复上睑全层缺损的价值。方法2007年3月,对一例狗咬伤所致的右侧上睑全层缺损进行急诊局部皮瓣修复手术。结果术后随访45d,右侧上睑外形满意,功能良好。结论应用局部皮瓣急诊修复眼睑全层缺损,术后效果满意,可避免Ⅱ期手术和睑缘缝合。 相似文献
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外伤性眼睑退缩的手术治疗 总被引:4,自引:0,他引:4
目的:探索采用异体巩膜移植行眼睑退缩矫正手术的疗效。方法:自上睑板上缘切断上睑提肌腱膜,或自下睑板下缘切断下睑缩肌,充分分离后使上下睑缘位置恢复正常,在上述腿膜与睑板之间植入 体巩膜片,以使上睑提肌腱膜或下睑缩肌延长。结果:本组18例22只眼,除1例轻度轿正不足和1例发生轻度上睑下垂体,其余均获得成功。结论:采用异体巩膜移植延长上睑提肌腱膜或下睑缩肌,是修复外伤或手术后眼睑退缩的有效手术方法。 相似文献
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Dermabrasion of the periorbital region has been traditionally contraindicated due to the fear of complications. A method for
safe dermabrasion of the lateral canthal region is described. Lateral canthal dermabrasion has the demonstrated advantages
of being economical and relatively free of pigmentary problems. The results for 25 consecutive cases with a follow-up period
of 12 to 16 months have shown good to excellent results in the majority of cases, with 4 cases requiring further revision.
The technique is not intended to replace the gold standard, laserbrasion of the periocular region, and is not demonstrated
to be safe for resurfacing of the lower lid region. However, the technique, rapid and easy once the learning curve is completed,
was not associated with significant complications in the current series of patients. 相似文献
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周丽云 《中国实用美容整形外科杂志》1997,(4)
对28例睑袋整形术后下睑外翻病例治疗的结果表明:①老年性低张性眼睑的重度外翻,需行睑板眼轮匝肌和皮肤的综合手术;②过多切除眼轮匝肌,影响下睑轮廓并增加外翻的可能;③出血是外翻另一大原因。文章就睑板、眼轮匝肌、止血、切口位置等进行了讨论 相似文献
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重睑术后粘连畸形及其治疗 总被引:8,自引:1,他引:7
目的 提出重睑术后粘连畸形的概念及其治疗原则,总结各种治疗方法的临床效果。方法 将本组30例重睑术后粘连畸形者的临床表现进行了分度,根据其形成特点,采用抽除缝线、眶隔脂肪瓣移位、眶隔部眼轮匝肌下移、睑板前齿轮匝肌瓣移转、自体脂肪组织游离移植和缩短上睑提肌肌健的方法治疗。结果 术后进行3个月至2年的随访,除隔部眼轮匝肌下移、睑板前眼轮匝肌瓣多转治疗效果欠佳外,其它方法均获得满意效果。结论 治疗重睑要后连畸形应在彻底松解局部粘连的基础上,根据局部条件采用隔断粘连区的方法,可以获得满意的长期效果, 相似文献