改良皮肤及眼轮匝肌切除术治疗先天性下睑内翻

目的 探讨改良下睑皮肤及眼轮匝肌切除术治疗先天性下睑内翻的效果.方法 对27例(46眼)先天性下睑内翻行改良下睑皮肤及眼轮匝肌切除术,根据睑内翻程度决定切除量,皮肤及眼轮匝肌的最大切除量在内眦部.术中切除的眼轮匝肌包括睑板前及部分眶隔前轮匝肌,16眼复发性下睑内翻加局部灰线切开.所有患眼均采用7-0美容线内翻处皮肤潜行挂睑板约1.5mm间断缝合,外侧皮肤间断缝合.结果 随访6个月～2年.44眼治愈,2眼好转.所有患者术后1周肿胀消退,下睑皮肤切口处平整.结论 改良皮肤眼轮匝肌切除术治疗先天性下睑内翻,疗效较好.

Clinical observation of modified skin and orbicular muscle resection for congenital lower eyelid entropion

Objective To evaluate the effect of the modified skin and orbicular muscle resection for congenital lower eyelid entropion.Methods There were 27 cases ( all 46 eyes,including 8 cases for one eye and 19 cases for both eyes) who suffered congenital lower eyelid entropion and accepted the modified skin and orbicular muscle resection surgery.The amount of muscle resected depended on the degree of entropion.The maximal resection margin should be around inner canthus.16 eyes with recurrent lower eyelid entropion were treated by orbicular muscle resection and part grey line incision at the same time.7 -0 esthetic stitch hidden interrupted sutures included skin and tarsus ( the spacing is 1.5 mm) in entropion region but in lateral interrupted suture only.One week later,the esthetic stitch should been taked out.Results All patient were followed for 6 months to 2 years and 44 eyes healed and the other 2 eyes improved.After one week swelling in eyelid fade away and the incision was even.Conclusions The patient who suffered congenital lower eyelid entropion should undergo modified skin and orbicular muscle resection for the perfect appearance,especially for adolescence.