眶隔脂肪重置合并皮瓣法下睑成形术的临床疗效探讨

The Explore of the Clinical Effect for Skin Flap Lower Lid Blepharoplasty Combined with Orbital Fat Replacement

目的:讨论眶隔脂肪重置结合皮瓣法下睑成形术改善眶周外形,以获得符合美学标准的手术效果。方法:对178例下睑袋成形术者,采用下睑缘切口,经皮瓣法释放眶隔脂肪,并将其部分固定于下睑缘凹陷处骨膜上,随后切除过多的皮肤。结果:术后恢复快,下睑皮肤平展,外眦部皮肤去除充分,眼台轮廓饱满,曲线自然。术后随访3个月到6个月观察,无睑退缩、下睑外翻,随访效果满意。结论:眶隔脂肪重置合并皮瓣法下睑成形可较好改善眶周外形,术后效果满意,达到下睑年轻化矫治的目的。

Objective：To investigate a skin flap method with resetting orbital septum fat for lower eyelid baggy plastic conforming to the medical aesthetic requirements.Methods：A total of 187 patients were recruited in this study.The method of skin flap with resetting orbital septum fat was adopted through palpebral margin incision.Then the excessive skin was removed.Results：All the patients experienced a quick recovery form the surgery.The excess skin at the lateral canthus was completely removed,the incision was sutured under moderate tension,and the eyelid skin was flattened.No lid-retraction or lower eyelid ectropion was observed in the 3 to 6 months postoperative follow-up.The lateral incision scar was hidden and the operation outcome was satisfactory.Conclusions：The skin flap method of repairing baggy deformity with resetting orbital septum fat could not only solve problem of eye bags which produces a more desirable appearance,but also meet aesthetic requirements and rejuvenative appearance.