眶隔脂肪解剖复位矫正1、2度上睑凹陷的效果  

Correction of the first and second degree of upper eyelid depression with orbital septal fat anatomic reduction in blepharoplasty

作　　者：陈长永[1] 李文志[1] 李斌斌[1] Chen Changyong;Li Wenzhi;Li Binbin(Department of Plastic Surgery and Laser Medicine,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院整形美容和激光医学科,北京100029

出　　处：《中华医学美学美容杂志》2023年第4期276-278,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:探讨重睑术中眶隔脂肪解剖复位矫正1、2度上睑凹陷的方法及效果。方法:2019年1月至2021年1月,首都医科大学附属北京安贞医院收治眶隔脂肪解剖复位矫正1、2度上睑凹陷女性患者62例,年龄18~44岁,平均27岁。重睑术中充分暴露并打开眶隔,解剖分离上睑中央组眶脂肪,内侧组眶脂肪,形成蒂在内侧的脂肪瓣,将脂肪瓣向中、内侧旋转180°,与内侧组眶脂肪缝合固定,矫正上睑凹陷。术后观察有无感染、血肿、脂肪液化、结节等并发症,对患者进行满意度调查。结果:随访6个月,62例患者重睑线弧度流畅,宽窄自然,上睑凹陷明显改善。满意度调查显示,非常满意60例,满意2例。其中术后伤口感染1例,经换药后治愈。瘢痕明显增生2例,外用抑制瘢痕增生药物治疗后明显减轻。无脂肪液化、结节等并发症。结论:对于1、2度上睑凹陷,可通过眶隔脂肪的解剖复位来矫正,手术操作简单、并发症少、满意度高。Objective To investigate the method and effect of anatomic reduction of orbital septum fat in blepharoplasty to correct the first and second degree of upper eyelid depression.Methods From January 2019 to January 2021,the data of patients with first and second degree upper eyelid depression admitted to Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed.Orbital septum was fully exposed and cut in blepharoplasty,the orbital fat of upper eyelid central group and the medial group were dissected and seperated to form the fat flap pedicled on the medial side.The fat flap was rotated 180°to the medial side and fixed with the orbital fat of the medial group to correct the upper eyelid depression.Complications such as infection,hematoma,fat liquefaction,nodules and orthers were observed after surgery.Questionnaire was used to investigate the satisfaction of patients,with 1-4 points indicating dissatisfaction,general satisfaction,satisfaction and very satisfaction,respectively.Results A total of 62 patients were included,all patients were female,aged 18-44 years,wit mean 27 years.All patients were bilateral upper eyelid depression.After 6 months of follow-up,the curvature of the double eyelid line was smooth,the width and narrowness of double eyelid were natural,and the upper eyelid depression was significantly improved.Satisfaction survey showed that 60 cases were very satisfied and 2 cases were satisfied.Wound infection was occurred in 1 case,and was cured after dressing change.Scar hyperplasia was observed in 2 cases,which was obviously alleviated after external treatment with anti-scar hyperplasia drugs.No fat liquefaction,nodule and other complications occured.Conclusions For the first and second degree of upper eyelid depression,it can be corrected by anatomic reduction of orbital septal fat in blepharoplasty.The operation is simple,with fewer complication and high satisfaction.

关 键 词：眼睑 上睑凹陷 重睑术 眶隔脂肪 脂肪复位 

分 类 号：R779.6[医药卫生—眼科]