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A new technique for correction of iatrogenic upper eyelid retraction by using a composite flap of the orbicularis muscle and fascia on the anterior surface of the tarsal plate

引用

Chinese Journal of Plastic and Reconstructive Surgery 2024年第3期6卷 116-123页

作者： Kaichong Nie Lidan Chen Xinzhu Qi Shiruo Zhang Xuanyu Yin Miaomiao Zhao Yuanyuan Du Shanghai EyesShine BeauCare Medical Aesthetic Clinic Shanghai201107China

Background:Upper eyelid retraction is a challenging complication of cosmetic upper eyelid *** avoid extra trauma,we developed a new technique for correcting iatrogenic upper eyelid retraction by postmigrating a compound flap of the orbicularis muscle and fascia(OFC)on the anterior surface of the tarsal *** method extends the aponeurosis of the levator palpebrae superioris muscle(LPS),which can achieve a good correction for post-blepharoplasty ***:We collected data from 15 patients with mild to moderate iatrogenic upper eyelid retraction who were treated at our hospital between February 2017 and December *** OFC was used to replace the missing part of the LPS,and post-migration of the LPS and fixation of the OFC to the tarsal margin were *** outcome measurements included postoperative binocular symmetry,double eyelid smoothness,eyelid fullness,margin reflex distance(MRD1),degree of eyelid closure,and exposure *** patients were followed-up at seven days,one month,and six months ***:One patient with moderate eyelid retraction showed undercorrection 6 months postoperatively,with the upper eyelid margin located at the upper edge of the *** remaining patients had the upper eyelid margin stabilized at 1.0–2.0 mm below the upper corneal *** observational indicators were satisfactory,including binocular symmetry,double eyelid fluency,and eyelid *** the follow-up,no exposure keratitis was *** MRD1 indexes after the operation were significantly different(Porbicularis muscle and OFC structure can effectively correct mild iatrogenic eyelid retraction after ptosis with less damage and good postoperative eyelid morphology and closure function.

关键词： Upper eyelid retraction Levator palpebrae superioris orbicularis muscle and fascia Migration

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