背景:在亚洲女性中,上眼睑皮肤松弛,外侧连帽,在老化的上眼睑中,上眼睑和眉毛不对称是突出且常见的。用经典的单切口方法很难彻底解决这些问题。在这项研究中,我们研究了双切口入路治疗衰老相关的上眼睑变化的实用性.
方法:从2017年9月至2019年3月,51例患者接受了该手术。通过眉下切口,切除皮肤和皮下组织,分离眼轮匝肌(OOM)皮瓣和肌皮皮瓣。将OOM皮瓣提起并通过眉下脂肪垫固定在骨膜上,并由上肌皮瓣覆盖。通过眼睑折痕切口,骨上眼睑皮肤,肌肉,切除了眼眶脂肪,过度紧张得到缓解,如果需要,调整和重塑双眼皮。通过要求参与的外科医生和患者分配分类(差,公平,不错,非常好,优秀)评分和术前术后眉位的比较。
结果:平均随访12个月。大多数患者对结果感到满意,禁止额头区域呕吐和短暂麻木各2例,并修正3例。6个月时,与总体结果满意度相关的平均外科医生和患者分类评分分别为4.2±0.6(范围3.0-5.0)和4.0±0.7(范围2.0-5.0)。分别。随访期间眉位稳定。
结论:双切口入路是安全的,有效,耐用,以及治疗上眼睑老化患者的美学方法。
BACKGROUND: In Asian women, upper eyelid skin laxity, lateral hooding, and upper eyelid and brow asymmetry in the aging upper eyelid are prominently and frequently seen. It is difficult to completely resolve these problems with the classical single-incision method. In this study, we investigate the utility of a double-incision approach to address aging-related changes of the upper eyelid.
METHODS: From September 2017 to March 2019, 51 patients underwent this procedure. Through a sub-brow incision, the skin and subcutaneous tissue were excised and the orbicularis oculi muscle (OOM) flap and muscular-cutaneous flap were separated. The OOM flap was lifted and fixed to the periosteum through the sub-brow fat pad and covered by the upper muscular-cutaneous flap. Through an eyelid crease incision, the supratarsal upper eyelid skin, muscle, and orbital fat were excised, excessive tension was alleviated, and double-fold eyelids were adjusted and reshaped if needed. The results were evaluated by asking the surgeon and patient involved to allocate a categorical (poor, fair, good, very good, excellent) scores and comparisons between pre- and postoperative brow position.
RESULTS: The average follow-up period was 12 months. Most patients were satisfied with the results, barring two cases each of vomiting and transient numbness over the forehead region and three revisions. The mean surgeon and patient categorical scores associated with satisfaction with the overall outcome at 6 months were 4.2 ± 0.6 (range 3.0-5.0) and 4.0 ± 0.7 (range 2.0-5.0), respectively. The brow position was stable during follow-up period.
CONCLUSIONS: A double-incision approach is a safe, effective, durable, and esthetic way for treating patients presenting with upper eyelid aging.