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題名 | Preservation of Medial and Central Preseptal Orbicularis Oculi in Aging Blepharoplasty=老化眼瞼手術施行中內側眶膈前眼輪匝肌保留 |
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作 者 | 陳昱帆; 黃文成; 游家孟; 董光義; 蔡永發; 張世幸; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷期 | 24:3 2015.09[民104.09] |
頁次 | 頁189-196 |
分類號 | 416.413 |
關鍵詞 | 眼瞼整形術; 眼輪匝肌; Upper blepharoplasty; Orbicularis oculi muscle; Hollowness; High adhesion fold; |
語文 | 英文(English) |
中文摘要 | 背景:傳統上老化上眼瞼整形術通常包含除去皮膚以及下面部分的眼輪匝肌。但在中老年人中,眼輪匝肌往往變較薄,因此在眼輪匝肌完全切除後,易有上眼框空洞化和異常高以及明顯的雙眼皮摺痕等後遺症。目的及目標:我們的目標是保留中內側部分的眶膈前眼輪匝肌,以期改善術後的這些後遺症。材料及方法:在西元2013年七月至2014年六月間,共有35位病患(其中包含30位女性以及5位男性),患者年齡從53到80歲,皆接受中內側眶膈前眼輪匝肌保留的老化上眼瞼整形術。結果:術後無顯著的上眼框空洞化,異常高度雙眼皮摺痕,或是上眼瞼閉合不全等併發症的情形產生。有4位患者於術後有輕微瘀斑,而有2位病患術後便有輕度的不對稱,但在幾個月後好轉。而所有的病患都滿意最終術後的結果。結論:施行中內側眶膈前眼輪匝肌保留的老化上眼瞼整形術可以避免上眼框空洞化和異常高以及明顯的雙眼皮摺痕等後遺症,因此能夠在眼眶周圍區域產生較美觀的術後結果。 |
英文摘要 | Background: Conventional upper blepharoplasty typically involves removal of the skin, orbicularis oculi muscle and, frequently, portions of the periorbital fat. In the elderly, the orbicularis oculi muscle is always thin. The hollowness and high adhesion fold were observed in some patients of complete excision of the underlying orbicularis oculi muscle. Aim and Objectives: We aim to preserve of medial and central preseptal orbicularis oculi to prevent these two common unfavorable results. Materials and Methods: Between July of 2013 and June of 2014, 35 patients, ranged from 53 to 80 years old, had aging upper eyelids. Upper blepharoplasty was performed with conservative excision of preseptal orbicularis oculi. Results: No significant complications, such as high adhesion of the upper eyelid crease or lagophthalmus, occurred. There were 4 patients of minor postoperative ecchymosis and 2 patients of mild asymmetry, which improved after several months. All of the patients were satisfied with results. Conclusion: In aging upper blepharoplasty, preservation of partial preseptal orbicularis oculi could prevent high adhesion fold and superior sulcus hollowness of orbital cavity with satisfactory results. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。