Kakizaki Hirohiko, Ichinose Akihiro, Iwaki Masayoshi
Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan.
Orbit. 2012 Oct;31(5):299-302. doi: 10.3109/01676830.2012.700547. Epub 2012 Aug 1.
To present a modified technique based on preaponeurotic fat advancement for preventing higher eyelid crease in upper eyelid-lengthening surgery.
Outcomes of Japanese patients with Graves' orbitopathy-related upper eyelid retraction who underwent transcutaneous upper eyelid-lengthening surgery were reviewed. The minimum follow-up period was 6 months. A total of 17 upper eyelids in 11 patients (average age, 38.4 years) were included. After confirming appropriate upper eyelid lowering with good contour, preaponeurotic fat was fully exposed and fixed on the upper tarsal plate 1 mm superior to the planned eyelid crease with 5 sutures. Skin-tarsus-skin sutures were placed to create an eyelid crease and close the skin. Simple suture tarsorrhaphy was performed with 2 sutures.
No upper eyelids demonstrated higher eyelid crease postsurgically. Upper eyelid fullness caused by the advanced preaponeurotic fat was not conspicuous.
Our technique is a countermeasure against higher eyelid crease in upper eyelid-lengthening surgery.
介绍一种基于眶隔前脂肪推进的改良技术，用于在上睑延长手术中预防上睑皱襞过高。
回顾了因格雷夫斯眼眶病相关上睑退缩而接受经皮上睑延长手术的日本患者的手术结果。最短随访期为6个月。共纳入11例患者（平均年龄38.4岁）的17只上睑。在确认上睑适当降低且轮廓良好后，充分暴露眶隔前脂肪，并用5根缝线将其固定在计划的睑皱襞上方1毫米处的上睑板上。放置皮肤-睑板-皮肤缝线以形成睑皱襞并闭合皮肤。用2根缝线进行简单的缝合睑缘缝合术。
术后无一只上睑出现上睑皱襞过高。推进的眶隔前脂肪引起的上睑饱满不明显。
我们的技术是上睑延长手术中预防上睑皱襞过高的一种对策。
