“多三角瓣”去皮法在下睑袋切除术中的应用
吴乐昊 张畅 周栩 王佳琦![](/images/paper/1008-6455/202110/15-1-l.jpg)
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[摘要]目的:介绍一种在经皮肤入路下睑袋切除术中,可安全切除多余皮肤的手术方法。方法:在常规进行下睑袋切除后,将下睑皮瓣向上提拉,在外眦转折点处垂直剪开皮瓣至去皮量,形成内、外两个三角皮瓣,将剪开的分叉处固定至外眦处眶骨深层至骨膜。向上提拉皮瓣,首先去除外侧三角形皮肤瓣,然后由外向内以三角形为单位分次切除内侧多余皮肤,逐步修剪至与切口上缘对合平齐。结果:本组100例患者术后下睑袋矫正效果明显,均未出现下睑外翻情况。患者眶周老化特征改善显著,外形自然,瘢痕不明显。结论:“多三角瓣”去皮法在下睑袋切除术中具有安全、有效、可行性好等优点。
[关键词]下睑袋;下睑成形术;下睑外翻;并发症;皮瓣;眼轮匝肌
[中图分类号]R622? ? [文献标志码]A? ? [文章編号]1008-6455(2021)10-0059-03
The Application of “Continuous Small Triangle” Flap Excision in Lower Eyelid Blepharoplasty
WU Le-hao,ZHANG Chang,ZHOU Xu,WANG Jia-qi
(Department of Cervicofacial Plastic and Reconstructive Surgery,Plastic Surgery Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100144,China)
Abstract: Objective? To introduce a safe method of removing redundant skin in transcutaneous lower eyelid blepharoplasty. Methods? After removal of the prominent orbital septal fat ......
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