带蒂眼轮匝肌桥状瓣转移术治疗重度复杂上睑倒睫的临床研究

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Abstract Objective To explore the clinical effect of pedicled orbicularis oculi muscle bridge flap transfer in the treatment of severe complex trichiasis of upper eyelid. Methods A total of 76 patients (76 eyes) with severe complex trichiasis of upper eyelid admitted to the Jiangyin People’s Hospital, Jiangsu Province from October 2018 to October 2020 were selected as the research subjects, and they were divided into the study group (38 cases, 38 eyes) and the control group (38 cases, 38 eyes) according to the random number table method. The control group was treated with conventional wedge surgery, and the study group was treated with pedicled orbicularis oculi muscle bridge flap transfer. The operation time, hospital stay, best corrected visual acuity before and two weeks after operation, daily living ability, appearance aesthetic, and postoperative comfort scores before and six months after operation, and recurrence rate and complication rate six months after operation were compared. Results There were no significant differences in operation time and hospital stay between the two groups (P > 0.05). Two weeks after operation, the best corrected visual acuity in both groups were lower than those before operation, and that in the study group was lower than that in the control group, the differences were statistically significant (P ＜ 0.05). Six months after operation, there was no statistically significant difference in the scores of daily living ability between the two groups (P ＞ 0.05), appearance aesthetic and comfort scores of the two groups were higher than those before surgery, and those in the study group were higher than those in the control group, the differences were statistically significant (P ＜ 0.05). Six months after surgery, there was no significant difference in recurrence rate between the two groups (P ＞ 0.05), and the incidence of complications in the study group was lower than that in the control group, the difference was statistically significant (P ＜ 0.05). Conclusion Pedicled orbicularis oculi muscle bridge flap transfer in the treatment of patients with severe complex trichiasis of upper eyelid can improve the repair effect, improve the aesthetics, and reduce the incidence of complications.

Key words： Pedicled flap transfer Orbicularis oculi muscle bridge flap Upper eyelid Trichiasis Repair surgery

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	MIAO Sheng XU Xuedong CAO Li

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MIAO Sheng XU Xuedong CAO Li. Clinical study on the treatment of severe complex trichiasis of upper eyelid with pedicle orbicularis oculi muscle bridge flap transfer[J]. 中国医药导报, 2022, 19(18): 94-97.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I18/94

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