Carraway J H, Mellow C G
Department of Plastic Surgery, Eastern Virginia Graduate School of Medicine, Norfolk.
Plast Reconstr Surg. 1990 Jun;85(6):971-81. doi: 10.1097/00006534-199006000-00025.
Ectropion and scleral show are the most common complications following lower lid blepharoplasty. Certain conditions predispose patients to ectropion, and these should be evaluated. In some cases, the addition of a wedge tarsectomy or tarsal strip procedure to a blepharoplasty in association with careful technique and postoperative measures is important in prevention of postblepharoplasty ectropion. Postoperative ectropion should initially be treated conservatively with massage. This may be effective up to 6 months postoperatively. If conservative measures fail, the etiology of the ectropion should be addressed. Laxity of the tarsus and canthal ligaments benefit from a horizontal lid-shortening procedure. Where there is vertical shortening from excessive skin resection or scarring of the orbital septum, there should be release and grafting of the deficiency.
睑外翻和巩膜外露是下睑睑成形术后最常见的并发症。某些情况使患者易患睑外翻，对此应进行评估。在某些病例中，在睑成形术中加做楔形睑板切除术或睑板条手术，并结合精细的手术技巧和术后处理措施，对于预防睑成形术后睑外翻很重要。术后睑外翻最初应采用按摩进行保守治疗。这在术后6个月内可能有效。如果保守治疗失败，应针对睑外翻的病因进行处理。睑板和眦韧带松弛可通过水平睑缩短手术改善。若因过度切除皮肤或眶隔瘢痕形成导致垂直缩短，则应松解并移植缺损部位。
