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单缝技术行上睑成形术联合 Mueller 肌-结膜切除术

Single-suture technique for combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection.

机构信息

Ophthalmology Service, Walter Reed National Military Medical Center, Bethesda, Maryland 20889, USA.

出版信息

Ophthalmic Plast Reconstr Surg. 2013 Jul-Aug;29(4):316-7. doi: 10.1097/IOP.0b013e31829a7330.

DOI:10.1097/IOP.0b013e31829a7330
PMID:23839638
Abstract

PURPOSE

To describe a technique using a single suture to perform combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection.

METHODS

Retrospective surgical case series.

RESULTS

The procedure was performed in 24 eyelids of 12 patients, with 3 cases including a 1-mm tarsectomy. Average improvement in margin-to-reflex distance 1 was 2.5 mm, and 22 of 24 cases (92%) achieved final margin-to-reflex distance 1 within 1 mm of the target predicted by phenylephrine testing. Surgical revision was required in 1 case of overcorrection and 1 case of recurrent ptosis.

CONCLUSIONS

Combined upper eyelid blepharoplasty and Mueller's muscle-conjunctiva resection can be performed with a single suture while maintaining the surgical effectiveness of both the procedures.

摘要

目的

描述一种使用单缝线同时进行上睑成形术和 Mueller 肌-结膜切除术的技术。

方法

回顾性手术病例系列。

结果

该手术在 12 名患者的 24 只眼中进行,其中 3 例包括 1mm 的半月皱襞切除术。平均 1 号边缘至反射距离增加 2.5mm,24 例中有 22 例(92%)最终 1 号边缘至反射距离达到酚妥拉明测试预测目标的 1mm 以内。1 例出现过度矫正,1 例出现复发性上睑下垂,需要手术修正。

结论

在保持两种手术有效性的同时,可使用单缝线同时进行上睑成形术和 Mueller 肌-结膜切除术。

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Ophthalmic Plast Reconstr Surg. 2013 Jul-Aug;29(4):316-7. doi: 10.1097/IOP.0b013e31829a7330.
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