眶隔脂肪筋膜瓣在上睑凹陷矫正术的效果

Clinical application of orbital fat fascia flap in upper eyelid depression correction

目的探讨眶隔脂肪筋膜瓣在上睑凹陷矫正术的临床应用。方法2015年1月至2020年12月,南京医科大学附属友谊整形外科医院整形美容外科对轻中度上睑凹陷女性患者38例(年龄25~55岁,平均37.5岁)用保留筋膜血管蒂的眶隔脂肪筋膜瓣转位法进行矫正,术中将眶隔脂肪的中央脂肪团外侧部转移至上睑凹陷部位,进而矫正上睑凹陷。结果35例患者术后上睑凹陷形态均得到明显改善,2例术后重睑线变浅,行再次手术调整;1例单侧存在部分凹陷,行自体脂肪颗粒补充移植,术后效果满意。结论纵向分离、保留眶隔下方包膜方法行眶隔脂肪转位,在减少脂肪吸收的同时可较好地矫正上睑凹陷。

Objective To investigate the clinical application of orbital fat fascia flap in upper eyelid depression correction.Methods From January 2015 to December 2020,38 female patients(aged 25-55 years,average 37.5 years)with mild to moderate upper eyelid depression were treated with orbital fat fascia flap at plastic surgery department of Friendship Plastic Surgery Hospital affiliated to Nanjing Medical University.During the operation,the lateral part of the central orbital septal fat was transferred to the upper eyelid depression,and then the upper eyelid depression was corrected.Results 35 cases of upper eyelid depression were significantly improved postoperatively,2 cases of double eyelid line became shallow after operation,and adjustment was performed again;1 case had partial depression on one side and received autologous granular fat supplement transplantation.Postoperative effect was satisfied.Conclusions The method of longitudinal separation and preservation of the capsule below the orbital septal for orbital septal fat transposition can better correct the upper eyelid depression while reducing fat absorption.