重睑成形术的并发症：如何预防和处理。
Complications in blepharoplasty: how to avoid and manage them.
机构信息
Ocular Plastic Surgery Division, Otorhinolaryngology Department, Medical School, Federal University of Uberlândia.
出版信息
Braz J Otorhinolaryngol. 2011 Jun;77(3):322-7. doi: 10.1590/s1808-86942011000300009.
UNLABELLED
Complications in blepharoplasty are uncommon and, when they occur, they are usually mild and transient, such as hematomas and chemosis. However, sometimes they can be severe, such as blindness, or they might require surgical correction, such as ectropion.
OBJECTIVE
To evaluate the results and complications of transcutaneous blepharoplasty performed in the same procedure, discussing how to treat and how to avoid them.
METHODS
A retrospective study of 200 medical records of consecutive patients that underwent transcutaneous blepharoplasty from January 2007 to January 2009. The variables analyzed were age, gender, complications, clinical outcome, patient satisfaction, and photographic documentation.
RESULTS
The incidence of complications was 9.5% (19 patients). The complications were 1 hematoma, 12 cases of chemosis and 13 patients who underwent canthoplasty, 6 patients with malposition of the lower eyelid (5 retractions and 1 ectropion). Medical treatment was performed in 12 patients and revision surgery in 7 cases of all the patients who had complications.
CONCLUSIONS
We demonstrated that blepharoplasty is a procedure with a high satisfaction and a low complication rate, and it is an excellent surgical procedure, when properly indicated.
摘要：
眼睑成形术的并发症并不常见，而且通常是轻微且短暂的，如血肿和球结膜水肿。但有时也可能很严重，如失明，或者需要手术矫正，如眼睑外翻。
目的：
评估同期经皮眼睑成形术的结果和并发症，讨论如何治疗和避免这些并发症。
方法：
回顾性分析 2007 年 1 月至 2009 年 1 月连续 200 例接受经皮眼睑成形术的患者的病历。分析的变量包括年龄、性别、并发症、临床结果、患者满意度和照片记录。
结果：
并发症发生率为 9.5%（19 例）。并发症包括血肿 1 例，球结膜水肿 12 例，行眦成形术 13 例，下眼睑位置不当 6 例（5 例退缩，1 例外翻）。12 例患者接受了药物治疗，所有发生并发症的患者中有 7 例接受了修复手术。
结论：
我们证明了眼睑成形术是一种满意度高、并发症发生率低的手术，只要适应证正确，它是一种很好的手术方法。
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