埋没导引法辅助经结膜入路睑袋整复术的效果

Effects of embedded guidance technique assisted transconjunctival lower eyelid blepharoplasty

目的探讨埋没导引法辅助经结膜入路睑袋整复术的效果。方法回顾性纳入2021年10月至2022年8月于北京协和医院整形美容外科完成经结膜入路睑袋整形及眶隔脂肪释放内固定泪槽凹陷矫正术(简称经结膜入路睑袋整复术)患者88例, 男9例(10.23%)、女79例(88.77%), 年龄22~51(34.42±6.17)岁。术中用埋没导引法辅助脂肪瓣内固定, 通过Barton分级评估分析手术效果、患者满意度及并发症发生情况。结果随访6~16个月。术前35只(19.89%)患眼为Barton Ⅰ级, 86只(48.86%)患眼为Barton Ⅱ级, 55只(31.25%)患眼为Barton Ⅲ级。经结膜入路睑袋整复术后, 其中151只(85.80%)患眼在术后恢复为Barton 0级, 22只(12.50%)患眼为Ⅰ级, 3只(1.70%)患眼为Ⅱ级, 无Ⅲ级病例。患者满意度(9.14±1.22)分, 78例(88.64%)患者对手术效果表示非常满意。6例(6.82%)患者术后出现并发症, 双侧下睑不对称3例、双侧眶下区轻度瘀斑2例、内固定位置体表凹陷痕迹1例。结论埋没导引法辅助径结膜入路睑袋整复术能够取得较好的手术效果, 患者满意度高, 并发症轻微。

Objective To investigate the effect of embedded guidance technique assisted transconjunctival lower eyelid blepharoplasty.Methods A retrospective study was conducted to include 88 patients who underwent transconjunctival blepharoplasty and tear trough deformity correction with orbital septum fat release and fixation(referred to as transconjunctival lower eyelid blepharoplasty)at the Department of Plastic and Reconstructive Surgery,Peking Union Medical College Hospital,from October 2021 to August 2022.There were 9 male patients(10.23%)and 79 female patients(88.77%),aged 22 to 51 years,with an average age of(34.42±6.17)years.The internal fixation of septum fat flap was assisted with embedded guidance technique,and the Barton grades system was used to evaluate the surgical effect,while the patient satisfaction and complications were collected.Results The followed-up period is 6-16 months.Before operation,35 eyes(19.89%)were classified as BartonⅠ,86 eyes(48.86%)were classified as Barton,and 55 eyes(31.25%)were classified as Barton Ⅱ.After transconjunctival lower eyelid blepharoplasty,151 eyes(85.80%)recovered to Barton grade 0,22 eyes(12.50%)recovered to grade Ⅰ,3 eyes(1.70%)recovered to grade Ⅱ,and no case was grade Barton Ⅲ.The patient satisfaction score was(9.14±1.22)points,and 78 patients(88.64%)were very satisfied.Only 6 patients(6.82%)showed mild complications,mainly including postoperative bilateral lower eyelid asymmetry(3 cases),mild bilateral orbital area ecchymosis(2 cases)and mild surface depression at internal fixation position(1 case).Conclusions The transconjunctival lower eyelid blepharoplasty assisted by the embedded guidance technique achieves favorable results with high patient satisfaction and few complications.