眼睑外翻手术(the lateral tarsal strip)是一种将下眼睑缩短并加强,使下眼皮可贴于眼结膜上的眼皮整形手术,这种手术并不会造成下眼皮外观的变形,此手术适应症主要是用于:1,老年性眼睑外翻,2,眼袋手术后的眼睑外翻,3,颜面神经麻痹所造成的眼睑外翻,4,颜面外伤所造成的眼睑外翻。
手术时会将下眼睑外侧约2〜3mm的处分成上下两部份,并制造一个接点,再将此接点与眼框外侧的骨膜上接合,使下眼睑能拉高服贴于眼结膜上,如此一来患者也可减少因眼睑外翻所造成眼睛干涩及流泪不适的症状,外观上也得到很好的改善,大部分此种手术术后效果都很良好。
The lateral tarsal strip procedure has the combined effect of increasing horizontal lid tension and adjusting the level of the lateral canthus. Following a lateral canthotomy a tarsal strip is created from the lateral aspect of the lower lid and sutured to the periosteum at the lateral orbital wall. Indications for this technique include senile and paralytic ectropion, recurrent ectropion, congenital malpositions, and lid laxity following trauma or enucleation.
The eyelid is then split into anterior and posterior lamellae, and tarsal strips are fashioned from the posterior lamella. The tarsal strips are sutured to periosteum at the lateral orbital wall, adjusting the height and tension of the lateral canthus. This technique gives a normal appearance to the lateral canthal angle and has yielded good results. |