摘要
目的:探讨改良Park法重睑成形术的临床效果。方法:2020年1月-2022年1月共436例就医者,采用改良Park法行重睑成形术。术中,沿术前标记线切开皮肤,楔形去除皮肤切口深层眼轮匝肌一条,去除的眼轮匝横断面为倒“V”形,即深侧宽,近皮肤侧窄。显露眶隔,完全打开眶隔膜,祛除疝出的眶隔脂肪组织,暴露上睑提肌腱膜,修整上睑提肌腱膜和部分残留眶隔,形成横向与皮肤切口一致的约2 mm高度的断端。使用7-0尼龙线经切口下唇皮肤、少量下唇眼轮匝肌、上睑提肌腱膜和眶隔断端顶部、切口上唇少量眼轮匝肌、上唇皮肤出针,打结。同法共缝合固定6~7针。结果:436例改良Park法重睑成形术就医者,满意421例,12例出现双侧不对称,3例出现重睑线变浅,无重睑线消失及切口处凹陷病例。结论:改良Park法重睑成形术后效果逼真,形态流畅,切口痕迹不明显,肉条感不明显,术中调整重睑形态简单、便捷,是一种较好的重睑成形术式。
Objective To explore the clinical efficacy of modified Park method in the blepharoplasty.Methods A total of(436)cases were collected from January 2020 to January 2022,the modifi ed Park method was used to perform double eyelid blepharoplasty.The skin was incised along the preoperative marking line,and the deep orbicularis oculi muscle of the incision was removed in a wedge-shaped manner.The transactional muscle of the removed orbicularis oculi formed an inverted V shape,that was,the deep side was wide and the near-skin side was narrow,and the orbital septum was exposed,which was completely made into the orbital septum,the herniated fat tissue of the orbital septum was removed,the palpebralis aponeurosis was exposed,and the palpebralis aponeurosis was trimmed and part of the residual orbital septum was formed into a stump with a height of about 2 mm horizontally consistent with the skin incision.7-0 nylon thread was used to hang the lower lip skin through the incision,a small amount of the orbicularis oculi muscle of the lower lip,the palpebralis aponeurosis,and the top of the orbital septum,a small amount of the orbicularis oculi muscle of the upper lip of the incision,and the skin of the upper lip was needled and knotted.A total of six to seven stitches were sutured in the same way.Results Among 436 patients with modifi ed Park double eyelid plastic surgery,421 were satisfi ed,12 had bilateral asymmetry,3 had shallow double eyelid line,there was no double eyelid line disappearance and incision depression.Conclusion The modifi ed Park double eyelid plastic surgery has a vivid eff ect,smooth shape,no obvious incision marks,no obvious cutlet looking,and it is simple and convenient to adjust the double eyelid shape during the operation,so it is a good double eyelid plastic surgery.
作者
盛飞
姜鑫利
SHENG Fei;JIANG Xinli(Department of Plastic Surgery,Hangzhou Liantianmei Medical Cosmetic Hospital,Hangzhou 310011,Zhejiang,China)
出处
《中国美容医学》
CAS
2023年第3期4-6,共3页
Chinese Journal of Aesthetic Medicine
关键词
Park法
重睑成形术
上睑提肌腱膜
眶隔
改良术式
park method
double eyelid plastic surgery
palpebralis aponeurosis
orbital septum
modifi ed operation
