眶隔脂肪重置在下睑袋术中矫正泪槽及睑颊沟畸形的应用

Application of orbital septum fat reset for tear though deformity and palpbromalar groove in lower blepharoplasty

目的探讨眶隔脂肪重置法在下睑袋成形术中矫正泪槽及睑颊沟畸形的效果。方法2015年3月至2018年3月,河北省沧州中西医结合医院整形美容科对下睑袋合并泪槽及睑颊沟凹陷畸形患者72例(男10例,女62例,年龄32~66岁,平均48岁),松解泪槽韧带及眼轮匝肌限制韧带,释放眶隔脂肪,将眶隔膜及脂肪向下推进平铺,重置于眶下区骨膜瓣下,填充沟槽凹陷。结果72例手术切口均愈合,双侧眼部形态自然、对称,睑颊部过渡良好,轮廓线呈单凸型曲线,切口瘢痕不明显。6~24个月随访,5例失访;1例出现单侧下睑睑袋复发,6个月后再次手术修复后改善;1例出现轻微下睑退缩,按摩理疗随时间增长自行好转;其余65例泪槽沟睑颊沟畸形均得到明显改善。66例(91.67%)患者对手术效果满意。结论松解泪槽韧带及眼轮匝肌限制韧带并进行眶隔重置,对于矫正下睑袋伴泪槽及睑颊沟畸形的效果较好,患者满意度高。

Objective To explore the clinical application of orbital septum fat reset for tear though deformity and palpbromalar groove in the lower blepharoplasty.Methods From March 2015 to March 2018,72 cases of lower eye baggy deformity with tear though deformity and palabromalar groove were treated with the procedures of orbital septum fat reset,relaxing the tears ligament and orbicularis retaining ligament;the orbital fat that was released from orbital septum was repositioned at the inferior orbital and fixed on periosteum.Results The incisions of 72 cases were healed successfully,the shape of the eyes was naturally symmetrical,the palpebral and buccal parts were excessive,and the contour lines formed a monoconvexcurve,with no obvious scar.All the cases were available for 6 to 24 months follow-up.66 cases(91.67%)were satisfied with the cosmetic results.Conclusions Orbital septum fat reposition is an effective method for correction of tear though and eyelid sulcus deformity.