Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection.
Management of Unsatisfactory Postoperative Double Eyelid With Intralesional Corticosteroid Injection.
复制标题
病灶内注射皮质类固醇治疗不满意的术后双眼皮。
DOI：
10.3389/fmed.2021.619547
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发表时间：
2021
影响因子：
3.9
通讯作者：
Lu Y
中科院分区：
文献类型：
--
作者：
Zhang S;Zhou Y;Yu F;Yan D;Yan Y;Zhou M;Fu Y;Lu Y
目的：目的观察早期皮质类固醇注射治疗重睑不满意的疗效。研究方法：这项回顾性、观察性研究纳入了30例女性患者（年龄22-35岁），在抱怨经皮上睑成形术后重睑不满意后接受了病灶内皮质类固醇注射。术后重睑畸形包括多重睑、眼睑凹陷和严重的术后眼睑水肿。根据眼睑两侧对称性、睑褶位置、重睑弧度、肿胀和凹陷程度评价临床效果。结果如下：11例（36.67%）患者术后出现多处皱褶，9例（30.00%）患者出现眼睑凹陷，10例（33.33%）患者术后出现严重眼睑水肿。其中17例（56.67%）患者接受了一次病灶内注射，眼睑明显改善，8例（26.67%）患者在第一次注射后1个月接受了另一次注射，眼睑明显改善。其余5例（16.67%）患者对结果不满意，可能需要进一步修复手术：2例患者出现多处皱褶，2例患者出现术后水肿，1例患者出现眼睑凹陷。所有患者均未报告任何不良反应。结论：皮质类固醇激素注射治疗重睑术后不满意的重睑，安全、方便，为早期干预提供了一种新的方法。
Purpose: The present study was designed to observe the curative effect of early intralesional corticosteroid injection to treat unsatisfactory double eyelid. Methods: This retrospective, observational study included 30 female patients (age 22–35 years) receiving intralesional corticosteroid injection after complaining about the unsatisfactory double eyelid post-transcutaneous upper eyelid blepharoplasty. The postoperative double eyelid anomalies included multiple folds, sunken eyelids, and severe postoperative eyelid edema. The evaluation of the clinical effect was based on the bilateral symmetry of the eyelid, the placement of the lid fold, the radian of the double eyelid, and the extent of the swelling and depression. Results: Multiple folds were observed in 11 (36.67%) patients, sunken eyelids in 9 (30.00%) patients, and severe postoperative eyelid edema in 10 (33.33%) patients. Among them, 17 (56.67%) patients received one intralesional injection and experienced significant improvement in the eyelid, while 8 (26.67%) accepted another injection at 1 month after the first injection and achieved marked improvement. The remaining 5 (16.67%) patients were dissatisfied with the results and might need further repair surgery: 2 patients had multiple folds, 2 showed postoperative edema, and 1 presented sunken eyelids. None of the patients reported any adverse reactions. Conclusion: Intralesional corticosteroid injection for the correction of the postoperative unsatisfactory double eyelid is safe and convenient, and provides a novel method for early intervention.