脂肪组织重置或移植修复重睑术后上睑凹陷畸形的效果  

Clinical effects of fat redistribution and transplantation on complicated sunken upper eyelid deformation after blepharoplasty

作　　者：阎昱丞 杨明勇 Yan Yucheng;Yang Mingyong(Department of Comprehensive Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院,北京协和医学院,整形外科医院综合整形科,北京100144

出　　处：《中华医学美学美容杂志》2024年第3期247-250,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨重睑术后用脂肪组织重置或移植修复上睑凹陷复杂畸形的效果。方法2020年1月至2022年1月,中国医学科学院整形外科医院综合整形科修复重睑术后上睑凹陷畸形女性患者40例(76处),年龄19~49岁,平均34岁。重睑术后上睑内部存在广泛粘连的上睑凹陷复杂畸形,松解粘连后合理使用眶隔脂肪重置技术以及游离脂肪团块或真皮脂肪团块移植技术,观察治疗效果。结果40例患者术后即刻上睑凹陷均得到矫正,无短期并发症。对患者进行4~28个月随访,医师评估75处(98.7%)手术取得较好效果,患者满意68处(88.2%)。结论脂肪组织重置或移植能够恢复上睑解剖结构及运动功能,同时补充上睑容量、改善外观,是重睑术后凹陷畸形修复的较好方法。Objective To discuss the repair technique of complicated sunken upper eyelid deformation,caused by postoperative extensive adhesion within upper eyelid,by using adipose tissue transplantation or reset,and to introduce the outcomes of our clinical practice.Methods From January 2020 to January 2022,40 female patients(76 eyes)with complicated sunken upper eyelid deformity after double eyelid surgery were repaired in the Comprehensive Ward of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,with an average age of 34 years(19-49 years).For the sunken upper eyelid with the extensive adhesion after blepharoplasty,reasonably choosing the method of orbital septum fat redistribution,free adipose tissue clump transplantation,and dermo-fat tissue clump transplantation were of great importance.The effectiveness of surgical methods were observed.Results The repairing surgeries,performed in 40 patients(76 eyelids),were all successful and without severe complications.98.7%of surgeries got good outcomes appraised by other doctors,and 88.2%of patients were satisfied after follow-up for 4-28 months.Conclusions The thorough lysis of adhesion and fat clumps distribution or transplantation could not only recover the function,but also improve the appearance of upper eyelid.The surgical method introduced in the present study is a relative ideal approach for repairing the complicated sunken upper eyelid deformation.

关 键 词：修复外科手术 重睑术后修复 上睑凹陷 眶隔脂肪重置 脂肪移植 真皮脂肪移植 

分 类 号：R779.6[医药卫生—眼科]