关键词: Double eyelid plasty Orbicularis oculi muscle Orbital septum flap Plastic surgery

Mesh : Humans Female Adolescent Young Adult Adult Male Suture Techniques Eyelids / surgery Blepharoplasty / methods Facial Muscles / surgery Patient Satisfaction Retrospective Studies

来  源:   DOI:10.1007/s00266-023-03823-z

Abstract:
OBJECTIVE: In order to make the postoperative effect of open double eyelid more close to the physiological and anatomical structure of double eyelid, we improved the traditional open double eyelid operation according to the anatomical characteristics of the upper eyelid. We fixed part of the orbicularis oculi muscle above the incisal margin with the orbital septum flap to make the double eyelid formed after surgery more natural and beautiful.
METHODS: A total of 76 patients who received open double blepharoplasty in department of plastic surgery from February 2019 to May 2022 were selected as this study objects, all of whom were female. Their ages ranged from 18 to 32 years, with a mean of (23.6 ± 5.2) years. The surgical method is open double blepharoplasty by fixing part of the orbicularis oculi muscle above the incisal margin with the flap of the orbital septum.
RESULTS: In this study, all 76 patients underwent successful surgery, with an average operation time of (1.5 ± 0.2) h. The postoperative double eyelid curvature was smooth and the double eyelid width was basically symmetrical. In terms of the doctors\' satisfaction evaluation of the postoperative effect, 64 cases were very satisfied and 12 cases were satisfied. In terms of patients\' satisfaction evaluation of the postoperative effect, 60 patients were very satisfied, 15 patients were satisfied and 1 patient was dissatisfied.
CONCLUSIONS: Through this study, we found that this surgical method invented by us has short operation time, good operation effect, few postoperative complications and high patient satisfaction, which is worthy of promotion and application in plastic surgery clinical practice.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to www.springer.com/00266 .
摘要:
目的:为了使双眼皮开放术后效果更接近双眼皮的生理解剖结构,我们根据上眼睑的解剖特点,改进了传统的双眼皮开放手术。我们用眶隔皮瓣将部分眼轮匝肌固定在切缘以上,使手术后形成的重睑更加自然美观。
方法:选择2019年2月至2022年5月在整形外科接受开放性双眼睑成形术的76例患者作为研究对象。他们都是女性。他们的年龄从18岁到32岁,平均(23.6±5.2)年。手术方法是通过用眶隔皮瓣将眼轮匝肌的一部分固定在切缘上方来进行开放式双眼睑成形术。
结果:在这项研究中,所有76例患者都接受了成功的手术,平均手术时间(1.5±0.2)h,术后重睑曲度光滑,重睑宽度基本对称。在医生对术后效果的满意度评价方面,非常满意64例,满意12例。在患者对术后效果的满意度评价方面,60名患者非常满意,15例患者满意,1例患者不满意。
结论:通过这项研究,我们发现我们发明的这种手术方法手术时间短,运行效果好,术后并发症少,患者满意度高,值得在整形外科临床实践中推广应用。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或www的在线说明。springer.com/00266.
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