经上睑缘入路保留单睑形态的上睑松弛矫正术

目的:探讨一种新的可以保持患者原有单睑形态的上睑松弛矫正方法。方法:回顾2015年7月-2016年10月经门诊行上睑松弛矫正术的32例患者,均行经上睑缘切口去除松弛皮肤、眼轮匝肌、眶隔脂肪等组织,并将切缘皮肤连续缝合。结果:术后随访1~12个月,32例患者上睑形态良好,角膜暴露率较稳定,均获得满意外观。结论:采用经上睑缘入路的上睑松弛矫正术可有效改善上睑松弛外观,且手术操作简单,疗效可靠。

Correction of Blepharochalasia with Single Eyelid Shape Preserved by Upper Eyelid Margin Approach

Objective To explore a new surgical method which can maintain the single eyelid shape to correct upper eyelid relaxation.Methods From July 2015 to October 2016,32 cases of patients who underwent outpatient blepharoplasty were reviewed.All patientsrequired for remove of the fl abby skin,orbicularis oculi,orbital septum fat,and continuous skin suture.Results Postoperative follow-up ranged from 1 to 12 months.32 patients had good upper eyelid morphology,stable corneal exposure rate and were all satisfied with postoperative appearance.Conclusion Blepharoplasty by upper eyelid margin approach is effective to improve the appearance of upper eyelid relaxation.The operative procedure is simple and the curative effect is reliable.