摘要
目的探讨重睑修复术中用眶隔脂肪瓣重置矫正术后上睑凹陷、重睑过宽、多重重睑等畸形的效果。方法2015年9月至2017年9月,北京医院整形外科修复合并多种畸形的重睑38例。重新设计重睑线及去皮量,松解上睑瘢痕粘连,暴露眶隔,将中央脂肪垫外侧延伸部分完全游离,形成以中间脂肪团为蒂的脂肪条,将其重置于上睑凹陷区或睑板上缘,余行重睑术。结果38例合并多种畸形重睑患者术后随访6~12个月,患者上睑形态均得到明显改善。38例患者重睑线高度、外形基本对称,重睑外观改善明显,患者满意度较高,均未再次修复。结论用眶隔脂肪瓣重置可有效修复合并多种畸形的重睑,可成为上睑成形术中重要的附加术式。
Objective The multiple malformation of upper eyelid,including the excessive width of fold line,sunken and/or multiple folded upper eyelid are the common complications after blepharoplasty.The aim of this study was to investigate the clinical effect of orbital septum fat redistribution on correcting these deformities.Methods From September 2015 to September 2017,38 patients with multiple malformations of upper eyelid were treated.The incision of upper eyelid and the excessive skin was designed and resected.After completely relieving the scar adhesion zones,we set the lateral orbital septum fat free and transposed it to the inner side of orbital septum or superior border of tarsus with suturing fixation.Then we routinely completed the double eyelid operation.Results Thirty-eight patients with multiple malformations of upper eyelid were treated successfully.The patients were followed up for 6 months to one year,and the results were totally satisfactory.The operation was not performed again.Conclusions The orbital septum fat redistribution can successfully correct the multiple malformation of upper eyelid.It should become a regular procedure in blepharoplasty.
作者
赵红艺
丁金萍
鲍世威
钱文江
马小兵
Zhao Hongyi;Ding Jinping;Bao Shiwei;Ma Xiaobing(Department of Plastic Surgery,Beijing Hospital,National Center of Gerontology,Beijing 100730,China)
出处
《中华医学美学美容杂志》
2019年第2期108-110,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
重睑修复
上睑凹陷
重睑过宽
多重睑
眶隔脂肪重置
Double eyelid reconstruction
Sunken upper eyelid
Excessive width of fold line
Multiple folded upper eyelids
Orbital septal fat replacement