改良眶隔脂肪释放在下睑袋成形术同期矫正泪槽畸形的效果

Clinical effects of modified orbital septum fat release on lower blepharoplasty with lacrimal groove deformity

目的探讨改良眶隔脂肪释放在下睑袋成形术同期矫正泪槽畸形的效果。方法2019年1月至2023年8月,建德市第一人民医院整形美容外科对下睑皮肤松弛合并泪槽凹陷畸形患者52例(男5例、女47例,年龄27~66岁,平均47.8岁)用眶隔脂肪填充眶下缘凹陷处,眼轮匝肌支持韧带缝合固定于眶下缘骨膜处达到解剖复位,眶隔膜游离缘缝合固定于支持韧带缘的改良眶隔脂肪释放法下睑袋成形术同期进行泪槽畸形矫正。术后6~12个月随访,评估并发症及患者满意度。结果52例患者手术切口均一期愈合,术后外观良好,切口瘢痕不明显。随访6~12个月,术后6个月评估手术满意度,49例满意、2例基本满意、1例不满意,无下睑外翻、下睑退缩、睑球分离等并发症。结论改良眶隔脂肪释放法对矫正下睑袋伴泪槽畸形的效果较好,患者满意度高,值得临床应用。

Objective To observe the clinical effect of modified orbital septum fat release in the treatment of lower eyelid relaxation with lacrimal groove deformity.Methods From January 2019 to August 2023,52 patients with lower eyelid relaxation and lacrimal groove deformity were treated with the procedures of modified orbital septum fat release in the First People′s Hospital of Jiande,including 5 males and 47 females.The orbicularis oculi muscle supporting ligament was sutured and fixed at the periosteum of the lower edge of the orbit to achieve anatomical reduction.Suture fixation of the free edge of the orbital septum was performed at the edge of the supporting ligament in the modified orbital septum fat release method.Following-up for 6-12 months after surgery,the complications and satisfactory rate of patients were evaluated.Results All the incision healed well with improved skin effect,and the incision scar were almost invisible.52 patients were followed up from 6 to 12 months;49 patients were satisfied and 2 patients were basically satisfied with their appearance,1 patient was not satisfied with the result.No complications such as lower eyelid ectropion,lower eyelid retraction,or eyelid ball separation occurred.Conclusions Modified orbital septum fat release is an effective method for correction of lower eyelid relaxation with lacrimal groove deformity.