下睑结膜入路眶隔脂肪释放矫正泪沟畸形

Correcting tear trough by transconjunctivai fat reposition ：the clinical analysis of 30 cases

目的探讨经结膜入路眶隔脂肪释放矫正泪沟畸形的疗效。方法选取60例眶隔脂肪突出、泪沟畸形明显但无下睑皮肤松弛的患者，根据其意愿分为观察组与对照组，每组30例。观察组采用经结膜入路眶隔脂肪释放方法矫正泪沟畸形；对照组采用结膜入路下睑袋修复术，2个月后采用填充剂矫正泪沟畸形。术后6个月随访，观察患者满意度及并发症发生情况。结果观察组30例中，25例患者满意，2例基本满意，3例不满意；对照组30例中，16例患者满意，8例基本满意，6例不满意。结论对于眶隔脂肪突出、泪沟明显、下睑皮肤紧致的患者，结膜入路眶隔脂肪释放是一种较好的矫正泪沟畸形的手术方法。

Objective To evaluate the clinical effect and experience of correcting tear trough by transconjunctival fat reposition. Methods The study was performed in 60 patients with lower eyelid fat prolapse and tear trough deformity, in whom eyelid skin tightening was deemed unnecessary. All patients were divided into observation group and control group according to their desire. The observation group received the orbital fat release through the conjunctiva. The control group corrected eyelid bag without releasing orbital fat. The control group received filler treatment 2 months after operation. Postoperative complications were recorded, and the degree of outcome satisfaction was obtained at the 6 - month postoperative follow-up. Results Of the 30 patients in the observation group, excellent result was achieved in 25 cases, basically satisfactory in 2 cases, unsatisfactory in 3 cases. Of the 30 patients in the control group, excellent result was achieved in 16 cases, basically satisfactory in 8 cases, unsatisfactory in 6 cases. Conclusions Transconjunctival fat repositioning is a better procedure for patients with lower eyelid fat prolapse,tear trough deformity and eyelid skin tightening.