眶隔脂肪颗粒化回植矫正泪槽沟畸形

Auto-Transplantation of Granulated Orbital Septum Fat for Correction of Tear Trough Deformity

目的探索眶隔脂肪颗粒化回植矫正泪槽沟畸形的方法与疗效。方法 2015年10月至2017年10月,选择合并泪槽沟畸形、下睑皮肤松弛的眼袋患者60例,采用下睑肌皮瓣法释放并取出眶隔脂肪,剪切成微小颗粒回植于泪槽沟凹陷区域,并去除多余皮肤及眼轮匝肌。结果所有患者术后随访6个月,除1例因眶隔脂肪不足行二次充填外,其余患者睑袋消失,泪槽沟、眼周皱纹在外观上均得到明显改善,下睑区平整紧致,无凹凸不平,未触及结节。结论对于伴有泪槽沟畸形、下睑皮肤松弛的眼袋患者,采用眶隔脂肪颗粒化回植,脂肪成活率高,效果满意,值得推广。

Objective To explore the clinical effect of auto-transplantation of granulated orbital septum fat for correction of tear trough deformity. Methods From October 2015 to October 2017, 60 patients with pouch, tear trough deformity and lower eyelid skin relaxation were selected in this study. The orbital septum fat was released and removed by lower eyelid myocutaneous flap, and then was transplanted into tear trough after being cut into tiny particles. The excess skin and musculi dormitator were removed after transplantation. Results All patients were followed up for 6 months. Except for one patient who had been filled twice due to the deficiency of orbital septum fat, all eyelid pockets disappeared, the tear tough and the surrounding wrinkles were improved in appearance, and the lower eyelid area was flat and tight, without bump and no touch of nodules. Conclusion Transplantation of granulated orbital septum fat has satisfactory effect for correction of tear trough deformity and lower eyelid skin relaxation in pouch patients, the survival rate of fat is high. The operation is worth popularizing.