眶隔脂肪下移经皮外固定在睑袋整复术中的应用

Application of blepharomalar by moving down the orbital septum fat through percutaneous external skeletal fixation

目的：探讨眶隔脂肪下移经皮外固定在伴睑颊沟凹陷畸形睑袋整复术中的应用效果。方法：常规行睑袋整复术的同时，沿下眶骨缘向下在骨膜表面充分剥离术前标记的睑颊沟凹陷范围，形成一袭腔，并将眶隔脂肪修整成脂肪垫使眶隔脂肪尽量平整铺于囊腔，并用尼龙线外固定。结果：本组119例，均进行了3～12个月的随访，随诊观察下睑袋及泪眶沟均消失，下睑形态自然，曲线圆滑，效果稳定，受术者自觉外观满意。结论：眶隔脂肪下移经皮外固定用于伴睑颊沟凹陷畸形的睑袋整形术，能解决常规睑袋整形术后下睑局部凹陷而不圆润的问题。此法既能使下睑袋及泪眶沟均消失，又能恢复下睑曲线圆滑的自然形态，且效果稳定。

Objective To discuss the practical effect of blepharomalar with concave palabromalar groove deformity by moving down the orbital septum fat through percutaneous external skeletal fixation. Methods Stripping thoroughly the marked range of concave palabromalar groove preoperative along periosteal surface of orbital margin to form a cyst packed with trimmed orbital septumfat smoothly and fixed with silk thread when conducting a conventional blepharoplasty. Results According to the follow-up report,it has found that all patients in 119 cases being satisfied with the efficacy and stability in the follow-up period ranging from 3 to 12 months.The Follow-up observations shows that the tarsus inferior and tear trough have disappeared.The tarsus inferior and smooth curve can be formed naturally. Conclusion Moving down the orbital septumfat through percutaneous external skeletall fixation with concave palabromalar groove deformity can improve the top-concave and rough surface of lower tarsus.It not only makes inferior and tear trough disappear, but also restores the smoothness of the lower tarsus curve naturally with stable effect.