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改良切开重睑术对改善术后重睑形态的研究.doc

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1、 , Park , , 67 , 1 1 .5 , , , , , ; ; ; , E-mail: 2017 10 20 The Shape Improvement of Double Eyelid after Modified Double Eyelid Blepharoplasty HE Zhaoli CHAI Zhaoqiang XIAO Xia LIU Ye YUAN Zhaoqi LUO Xusong Department of Plastic Surgery, Tengzhou Central Peoples Hospital; Department of Plastic Surg

2、ery, The Second Hospital, University of South China; Department of Plastic and Reconstructive Surgery, Shanghai Ninth Peoples Hospital, Shanghai Jiaotong University School of Medicine; Abstract Objective To summarize the long-term outcome after modified double eyelid blepharoplasty. Methods On the b

3、asis of the traditional upper blepharoplasty, using Park method of blepharoplasty to retain the orbicularis oculi muscle of the inferior incision margin above the tarsus, which can be firmly tied down with the superior margin of the tarsus. Results All 67 patients were treated with this method, and

4、followed up for 1 to 1.5 years. All patients were satisfied with the longterm outcome. No complication was observed. Conclusion The modified double eyelid blepharoplasty can keep the connection of the orbicularis oculi muscle anatomically, which can reduce the upper eyelids edema rapidly and make th

5、e radian of the double eyelids natural and longer-lasting. So this technique is worthy of application and promotion in clinic. Keyword Double eyelid blepharoplasty; Orbicularis oculi muscle; Modified method; Received 2017 10 20 2013 5 2014 5 , 67 , - - , , , , , 1 67 , 1728 ( 23.68 ) , , 2 2.1 , , ,

6、 , , 78 mm , 5 mm, , , 3 , , , , , 1/3 , , , , 2.2 2% ( ) , 11.5 m L , 510 min ( ) , , , , 1/3 , , , , , , , 8-0 3 - - , , , 1 , , 2.3 , , 48 h , 7 d , 3 , 3 , 36 3 67 , , 7 d 2 , 9 1 , , , , , , , , , ( 1) 1 Fig.1 Typical case A: ;B: ;C: ;D: 3 A:The tarsus and the superior margin of the tarsus;B:Th

7、e suture stitch the orbicularis oculi muscle of the inferior incision margin, the superior margin of the tarsus and the orbicularis oculi muscle of the superior incision margin together;C:Before operation;D:3 months after operation 4 1-3, , Park , , , , ( ) Park ( ) , , , , , 52%69%, 31%48% , 4 , ,

8、, 5-6 Park ( ) , , , - - , , , , , , , , , (1) , , , , , 7 , , , - , ; (3) 8-10, 1/3 , , , , , , , ; (4) , , , , , ; (5) - ( ) - 1 , , , , , 11, , 160 cm , 72 mm, , , , , , , , , , 1 . M. : , 1999:970-973. 2Hwang HS, Spiegel JH.The effect of“single“vs“double“eyelids on perceived attractiveness of Ch

9、inese womenJ.Aesthet Surg J, 2014, 34 (3) :374-382. 3Lee CK, Ahn ST, Kim N.Asian upper lid blepharoplasty surgeryJ.Clin Plast Surg, 2013, 40 (1) :167-178. 4 , , , . J. , 2004, 10 (6) :370-372. 5Cho BC, Byun JS.New technique combined with suture and incision method for creating a more physiologically

10、 natural double-eyelidJ.Plast Reconstr Surg, 2010, 125 (1) :324-331. 6Lam VB, Czyz CN, Wulc AE.The brow-eyelid continuum:an anatomic perspectiveJ.Clin Plast Surg, 2013, 40 (1) :1-19. 7Lu L, Zhu M, Luo X, et al.Using levator aponeurosis to create physiologically natural double eyelid:a new reconstruc

11、tion technique based on three key factors in double eyelid formationJ.Ann Plast Surg, 2017, 78 (5) :487-491. 8Jeong S, Lemke BN, Dortzbach RK, et al.The Asian upper eyelid:an anatomical study with comparison to the Caucasian eyelidJ.Arch Ophthalmol, 1999, 117 (7) :907-912. 9Hwang K, Kim DJ, Chung RS

12、, et al.An anatomical study of the junction of the orbital septum and the levatoraponeurosis in OrientalsJ.Br J Plast Surg, 1998, 51 (8) :594-598. 10Kakizaki H, Takahashi Y, Nakano T, et al.The causative factors or characteristics of the Asian double eyelid an anatomic studyJ.Ophthal Plast Reconstr Surg, 2012, 28 (5) :376-381. 11Galdino GM, Vogel JE, Vander Kolk CA.Standardizing digital Surg, 2001, 108 (5) :1334-1344.

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