[1]李卫华,杨天赤. 眶隔脂肪游离移植填充眶下缘凹陷在下睑整形术中的应用[J].中国美容医学,2019,(10):41-43.
　LI Wei-hua,YANG Tian-chi. The Free Transposition of Orbital Fat to Treat Infraorbital Depression in Lower Blepheroplasty[J].Medical Aesthetics and Beauty,2019,(10):41-43.
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 眶隔脂肪游离移植填充眶下缘凹陷在下睑整形术中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年10期
页码:
41-43
栏目:
出版日期:
2019-10-05

文章信息/Info

Title:
 The Free Transposition of Orbital Fat to Treat Infraorbital Depression in Lower Blepheroplasty
文章编号:
1008-6455（2019）10-0041-03
作者:
李卫华; 杨天赤
Author(s):
LI Wei-hua; YANG Tian-chi
关键词:
 ; [关键词]下睑整形术; 下睑松弛; 眶隔脂肪; 脂肪游离移植; 泪沟; 眶颧沟; 下睑退缩
Keywords:
 ; Key words: lower blepheroplasty;  lower eyelid laxity;  orbital fat;  free fat graft;  tear trough;  orbitalmalar sulcus;  eyelid retraction
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨眶隔脂肪游离移植填充眶下缘凹陷应用于下睑整形术中的有效性和可行性。方法：对2016年1月-2018年1
月笔者医院收治的36例下睑松弛患者进行回顾性研究，均为泪沟和眶颧沟明显的患者，采用常规皮肤入路行下睑松弛矫正
术，术中将内、中、外三团眶隔脂肪切除后，游离移植于眶下缘凹陷区域，并用5-0 PDS线牵引固定到皮肤外。对患者的
术后效果，患者满意度和手术并发症情况进行评价。结果：所有患者术后切口愈合良好，无一例发生术区感染。5例患者
（13.9%）术后早期发生轻度下睑退缩，8例（22.2%）早期眶下缘可触及硬结，上述两种并发症经局部热敷、按摩后于3个月
以内消失。术后6个月共有28例患者来院复诊，患者满意度平均评分为3.3分，总体评价为满意。结论：对于眶下缘萎缩，泪
沟和眶颧沟明显的患者，在下睑整形术中，采用眶隔脂肪游离移植填充可以有效矫正眶下缘凹陷，使泪沟和眶颧沟不明显，
效果稳定满意。

Abstract:
Abstract: Objective To explore the effect and feasibility of the orbital fat free transposition to treat infraorbital depression in
the lower blepheroplasty. Methods Thirty-six patients with loewer eyelid laxity and tear trough/orbitalmalar sulcus deformity
in the author’s hospital from January 2016 to January 2018 were selected as research subjects. Through the transcutaneous
lower blepheroplasty, the orbital fats were dissected directly and transposed to the depression inferior to the orbital rim. The
free orbital fat grafts were fastened with 5-0 PDS suture, penetrated through the skin and fixed with sterile 3M tape. The postoperative
effect, patient satisfaction and complications were evaluated. Results All the patient wounds healed uneventfully. No
infection occurred. The slight lower lid retraction was seen in 5 patients(13.9%) and the nodules were touched below the inferior
orbital rim in 8 patients(22.2%) at the early stage of the post-operation. After massaging and heat compressing, the lower lid
retraction and touching nodules disappeared spontaneously. At the consultation 6 months after operation, the mean point of the
patients satisfying score was 3.3. The results of surgery were excellent. Conclusion The transposition of free orbital fat graft
could correct the infraorbital depression effectively. When combined with the lower blepheroplasty, the results of the surgery
were excellent.

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更新日期/Last Update: 2019-11-05