上睑眶内脂肪重置矫正上睑凹陷的临床效果

Clinical effect of correcting the sunken upper eyelid by upper eyelid orbital fat reset

目的探讨上睑眶内脂肪重置矫正上睑凹陷的手术方法及疗效。方法针对26例轻度、中度上睑凹陷的患者，采用切开法重睑成形术的常规切口，水平切开皮肤及眼轮匝肌，松解上睑提肌腱膜，剪开眶隔膜，暴露眶内脂肪，松解眶脂肪包膜与眶隔膜间的疏松连接，将移位及或松弛下垂的眶内脂肪牵引、复位到凹陷区，对合并轻中度上睑下垂者同时做提肌腱膜折叠缝合，用7-0美容线缝合切口上下缘。结果26例（52只眼）均随访12个月，上睑凹陷消失，重睑线流畅、两侧对称，眼部外观接近美学标准，没有并发症，临床效果满意。结论上睑眶内脂肪重置矫正上睑凹陷的效果佳，是值得临床推广的一种好方法。

Objective To discuss the surgical methodology for sunken upper eyelid and its curative effect by eyelid orbital fat reset. Methods 26 patients with the sunken upper eyelid were operated, in which blepharoplasty incision was used to open musculus orbicularis oculi and septum orbitale, dissected levator, displaced orbital fat were extended and replaced to the sunken region of upper eye- lid, to mild-to-moderate ptosis evator tendon membrane folding suture was carried out at the same time and the wound was routinely sutured through 7-0 nylon thread. Results All cases were followed up for 12 months after operation. There was no obvious complication occurred, All cases got ideal outcomes, with smooth and symmetry lid folds. Conclusions The postoperative effects of upper eyelid orbital fat reset for correction of eyelid sunken are satisfactory, without inequality complications, and therefore it is worth promoting.