眶隔前脂肪联合眶上缘上外侧轮匝肌深面脂肪部分切除矫正上睑臃肿

Combined resection of preseptal fat and partial retro-orbicularis oculus fat ： a method for refractory upper eyelid heaviness correction

目的 探讨眶隔前脂肪联合眶上缘上外侧轮匝肌深面脂肪（retro-orbicularis oculusfat,ROOF）部分切除,矫正上睑臃肿的疗效和安全性.方法 眶隔前脂肪位于上睑眼轮匝肌深面,ROOF位于眶上缘上外侧轮匝肌深面,与眶隔前脂肪相延续.对术前评估为眶隔前脂肪和ROOF肥厚的病例,实施眶隔前脂肪联合ROOF部分切除术,并随访评价其疗效和安全性.结果 2011年5月至2013年7月,对38例患者实施该术式,术后随访3～ 28个月,平均8.6个月,所有患者上睑臃肿改善;1例术后出现血肿,10d自行完全吸收;1例患者眉外侧上方区域局部麻木,2个月后完全恢复.37例患者对手术效果满意.结论 眶隔前脂肪联合ROOF部分切除可有效改善上睑臃肿,并发症轻微,满意度高,可作为上睑整形手术的重要补充。

Objective To investigate anoperative method of combined resection of preseptal fat and partial retro-orbicularis oculus fat （ROOF） for correction of upper eyelid heaviness,and evaluate the efficacy and safety of the method.Methods Preseptal fat lies widely under the orbicularis oculi in the upper eyelid,and retro-orbicularis oculus fat （ROOF） lies in the lateral supraorbital area.Combined resection of preseptal fat and partial ROOF was performed in patients selected by examination.The efficacy and safety were evaluated by follow-up study.Results From May 2011 to July 2013,38 selected patients received the treatment with 3 months to 28 months follow up.The heaviness of upper eyelid improved in all cases.One patient developed postoperative hematoma,and another patient had a transient numbness over the lateral upper brow region.37 patients were satisfied with the result.Conclusions Combined resection of preseptal fat and partial ROOF was effective in reducing the heaviness of upper eyelid,without major complications.The operative method should be an important adjunct for selected patients undergoing blepharoplasty.