Clinical efficacy analysis of myocutaneous flap in blepharoplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 WEN Huicai , WAN Jun , SUI Yunpeng , JIAN Xueping , MA Li , XU Guizhen , LIU Yanping

Department of Plastic Surgery, First Affiliated Hospital of Nanchang University, Nanchang Jiangxi, 330006, P.R.China;

Corresponding?author：

WEN Huicai, Email: whcjxmc@163.com

Keywords：

Blepharoplasty; myocutaneous flap; clinical efficacy

DOI：

10.7507/1002-1892.201611031

Video：

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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

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12.	馬艷, 陸宏. 探討三種術式重瞼術后并發癥及其處理方法. 中國醫療美容, 2016, 6(8): 11-13.
13.	許春鵬. 動感重瞼術與傳統重瞼術臨床效果比較. 中國醫學創新, 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.
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1. ?張建軍, 黃雙聞, 熊世文. 模擬生理的重瞼成形術. 實用美容整形外科雜志, 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. 許鳳芝. 重建生理性上瞼動力學結構的重瞼術研究. 杭州: 浙江大學, 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. 曹曄, 易陽艷. 兩種重瞼術后上瞼腫脹的臨床研究. 2015 江西省首屆醫學美容整形聯合學術會議、江西省醫學會第十一次醫學美學與美容學術研討會、江西省第四次中西醫結合醫學美容學術會議. 南昌: [出版者不詳], 2015.
10. 羅建國. 留靜脈橋切開法重瞼成形術的解剖學基礎及臨床應用. 中華醫學美容雜志, 1998, 4(2): 57-60.
11. 徐健. 切開重瞼術并發癥原因分析及對策. 中國實用醫藥, 2007, 2(17): 78-79.
12. 馬艷, 陸宏. 探討三種術式重瞼術后并發癥及其處理方法. 中國醫療美容, 2016, 6(8): 11-13.
13. 許春鵬. 動感重瞼術與傳統重瞼術臨床效果比較. 中國醫學創新, 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. 陳麗, 郭群, 楊云, 等. 切開法重瞼術的縫合方法. 中國美容醫學, 2016, 25(9): 116-118.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical efficacy analysis of myocutaneous flap in blepharoplasty

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