外眦固定术联合肌皮瓣筋膜层整复术治疗眼睑松弛的临床研究OA

Objective To observe the clinical effect of combined lateral canthus fixation and myocutaneous flap fascial layer repair surgery on improving eyelid relaxation.Methods A total of 70 patients with eyelid relaxation who were treated in the hospital from August 2020 to September 2023 were collected.According to different treatment methods,they were divided into myocutaneous flap group(n=33,myocutaneous flap fascial layer repair surgery)and combined group(n=37,lateral canthus fixation combined with myocutaneous flap fascial layer repair surgery).The Barton aesthetic rating,Fitzpatrick wrinkle score,eye indexes scores and incidence of postoperative complications were compared between groups before and after treatment.Results At 6 months after surgery,the Barton grading in the two groups was improved to grade 0 and grade 1,and the improvement effect in the combined group was better than that in the myocutaneous flap group(P＜0.05).The Fitzpatrick wrinkle score of the two groups was decreased significantly,and the score in combined group was lower than that in myocutaneous flap group(P＜0.05).The scores of palpebral lacrimal sulcus and skin glossiness in the two groups were increased,and the scores in combined group were higher than those in myocutaneous flap group,and the score of eye bag degree in the two groups was decreased,and the score was lower in combined group(P＜0.05).There was no significant difference in the incidence of postoperative complications between groups(P＞0.05).Conclusion Lateral canthoexy combined with myocutaneous flap fascial layer reconstruction in the treatment of eyelid laxity can effectively improve eye wrinkles and eyelid laxity,which is safe and reliable,and worthy of clinical recommendation.