Objective
To introduce the myocutaneous flap in blepharoplasty and summarize its clinical efficacy.
Methods
Between January 2013 and March 2016, 1 560 patients underwent blepharoplasty with myocutaneous flap. Of them, 158 patients were followed up over 6 months and included in the study. There were 18 males and 140 females with the average age of 23.4 years (range, 18-35 years). The unilateral side was involved in 13 cases and bilateral sides in 145 cases. The patients had narrow double eyelid, shallow double eyelid, single eyelid, bloated upper eyelid, and upper eyelid skin relaxation. During operation, the tissue between the orbicular muscle of eye and the tarsus was trimmed layer by layer; the orbicularis oculi muscle, capillary network, and the front fascia of tarsus were retained, and the full-thickness skin, muscle, and the front fascia of tarsus were sutured by anatomical apposition.
Results
Incision healed at stage I. All patients were followed up 6 months to 2 years (mean, 8.3 months). During follow-up period, shallow or extinctive double-eyelid line was observed in 9 cases (12 eyes), and satisfactory results were achieved after trimming front fascia of tarsus and suturing. Good clinical results were obtained in the other patients, who had natural and coherent double eyelid without obvious scar or depression at resection margin.
Conclusion
Myocutaneous flap for blepharoplasty has many advantages of fast recovery, little wound, light swelling, permanent effects, and good appearance.
Citation：
WEN Huicai, WAN Jun, SUI Yunpeng, JIAN Xueping, MA Li, XU Guizhen, LIU Yanping. Clinical efficacy analysis of myocutaneous flap in blepharoplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(3): 327-330. doi: 10.7507/1002-1892.201611031
Copy
Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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- 1. 张建军, 黄双闻, 熊世文. 模拟生理的重睑成形术. 实用美容整形外科杂志, 2000, 11(6): 312-313.
- 2. Moon KC, Yoon ES, Lee JM. Modified double-eyelid blepharoplasty using the single-knot continuous buried non-incisional technique. Arch Plast Surg, 2013, 40(4): 409-413.
- 3. Siegel R. Surgical anatomy of the upper eyelid fascia. Ann Plast Surg, 1984, 13(4): 263-273.
- 4. Choi Y, Eo S. Outer fascia of orbicularis oculi muscle as an anchoring target tissue in double eyelid surgery. J Craniofac Surg, 2016, 27(2): 322-327.
- 5. Kiranantawat K, Suhk JH, Nguyen AH. The Asian eyelid: relevant anatomy. Semin Plast Surg, 2015, 29(3): 158-164.
- 6. 许凤芝. 重建生理性上睑动力学结构的重睑术研究. 杭州: 浙江大学, 2008.
- 7. Kim HS, Hwang K, Kim CK,et al. Double-eyelid surgery using septoaponeurosis junctional thickening results in dynamic fold in Asians. Plast Reconstr Surg Glob Open, 2013, 1(2): 1-9.
- 8. Chen CC, Tai HC, Huang CL. Chen’s double eyelid fold ratio. Plast Reconstr Surg Glob Open, 2016, 4(4): e681.
- 9. 曹晔, 易阳艳. 两种重睑术后上睑肿胀的临床研究. 2015 江西省首届医学美容整形联合学术会议、江西省医学会第十一次医学美学与美容学术研讨会、江西省第四次中西医结合医学美容学术会议. 南昌: [出版者不详], 2015.
- 10. 罗建国. 留静脉桥切开法重睑成形术的解剖学基础及临床应用. 中华医学美容杂志, 1998, 4(2): 57-60.
- 11. 徐健. 切开重睑术并发症原因分析及对策. 中国实用医药, 2007, 2(17): 78-79.
- 12. 马艳, 陆宏. 探讨三种术式重睑术后并发症及其处理方法. 中国医疗美容, 2016, 6(8): 11-13.
- 13. 许春鹏. 动感重睑术与传统重睑术临床效果比较. 中国医学创新, 2016, 13(28): 119-121.
- 14. Pan E, Nie YF, Wang ZJ,et al. Aponeurosis of the levator palpebrae superioris in Chinese subjects: A live gross anatomy and cadaveric histological study. Medicine (Baltimore), 2016, 95(31): e4469.
- 15. 陈丽, 郭群, 杨云, 等. 切开法重睑术的缝合方法. 中国美容医学, 2016, 25(9): 116-118.
