眶隔前脂肪联合眼轮匝肌后脂肪处理在上睑成形术中的临床应用  

Clinical application of orbital anterior fat combined with retro-orbicularis oculiFat treatment in blepharoplasty

作　　者：陈刚[1] 张天琦 马志兵[1] 刘宸 黄金龙[1] Chen Gang;Zhang Tianqi;Ma Zhibing;Liu Chen;Huang Jinlong(Department of Plastic Surgery,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing 210000,China)

机构地区：[1]江苏省中医院整形外科,南京210000

出　　处：《中华医学美学美容杂志》2020年第3期185-188,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨通过重睑切口或眉下切口,行眶隔前脂肪联合眼轮匝肌后脂肪(ROOF)部分切除或增强缝合,矫正上睑臃肿和上睑凹陷的疗效和安全性。方法2017年5月至2018年6月,江苏省中医院整形外科对166例美容就医者(男65例,女101例,年龄34~61岁)实施该术式。其中重睑切口矫正上睑臃肿81例;重睑切口矫正上睑凹陷33例;眉下切口矫正上睑臃肿30例;眉下切口矫正上睑凹陷22例。结果166例美容就医者手术切口均一期愈合,术区瘀血和切口红肿短期内可自行缓解。瘢痕增生、肉芽肿形成等问题均未出现,切口瘢痕不明显。随访3~14个月,平均7.6个月,166例美容就医者上睑臃肿或凹陷均得到改善,美容就医者均满意。其中2例美容就医者术后出现血肿,经清创后一期愈合。结论眶隔前脂肪联合ROOF部分切除或增强缝合可有效改善上睑臃肿或上睑凹陷,安全、创伤小可作为上睑整形手术的方法之一。Objective To investigate the efficacy and safety of partial resection or enhanced suture of retro-orbicularis oculi fat(ROOF)through double eyelid or subeyebrow incision to correct upper eyelid swelling and depression.Methods From May 2017 to June 2018,166 beauty seekers underwent the operation.Among them,81 cases were corrected by double eyelid incision,33 cases were corrected by double eyelid incision,30 cases were corrected by subeyebrow incision and 22 cases were corrected by subeyelid incision.Results The swelling and depression of the upper eyelid were improved and the patients were satisfied.Two of the patients developed hematoma after operation and all healed after debridement.Conclusions Preorbital septum fat combined with ROOF partial excision or enhanced suture can effectively improve the upper eyelid swelling or depression,with high satisfaction,safety and less trauma,which can be an important supplement for upper eyelid plastic surgery.

关 键 词：眼睑成形术 眶隔前脂肪 眼轮匝肌后脂肪 上睑臃肿 上睑凹陷 

分 类 号：R779.6[医药卫生—眼科]