三种方法矫正中重度上睑凹陷的临床效果比较

Clinical Efficacy Comparison of Three Methods for Correction of Moderate and Severe Upper Eyelid Depression

目的:分析三种不同方法矫正上睑凹陷的临床效果。方法:回顾性分析采用眶膈脂肪重置+眼轮匝肌瓣法、眶膈脂肪重置+自体颗粒脂肪移植,眶膈脂肪重置+眼轮匝肌瓣+自体颗粒脂肪移植三种方法矫正中重度上睑凹陷的临床效果。结果:本组共78例,3级凹陷者55例,4级凹陷者23例。术后随访3个月~3年,其中3例矫正不足,行自体颗粒脂肪填充,有4例行重睑宽度调整术。其余受术者重睑形态自然,无明显凹陷,睑裂高度大小合适,效果满意。结论:对于中重度上睑凹陷,采用眶膈脂肪为基础的联合方法,效果确切,值得推广。

Objective To analyze the clinical appplication and therapeutic effect of applying three types of combined methods to correct sunken upper eyelid. Methods Retrospective analysis the therapeutic effect of applying three methods to correct severe sunken upper eyelid, such as orbital septum fat transposition(OSFT) combined with orbicularis muscle flap(OMF), OSFT combined with particle fat grafting(PFG), and OSFT combined with OMF and PFG. Results There were 78 cases in this group. 55 cases in grade 3 depression, and 23 cases in level 4 depression. All patients were followed up for 3 months to 3 years, three of whom were undercorrected, and were filled with autologous granule fat, 4 cases experienced second operation because of asymmetrical width double eyelids. The rest of the subjects had a natural form with no obvious depressions, and the height of the splitting was appropriate and the results were satisfactory. Conclusion For the moderate-to-severe sunken upper eyelid, the combined method based on sputum fat transposition is effective, and it is worthy of clinical promotion and application.