摘要
目的探讨经睑缘切口眶隔组织分层叠瓦重置联合热能紧缩治疗下睑年轻化的效果。方法回顾性纳入2020年4月至2023年1月中国医学科学院整形外科医院血管瘤与脉管畸形整形科收治因下睑袋皮肤松弛伴不同程度的泪沟及睑颊沟凹陷, 行切开法下睑袋手术患者423例, 男20例、女403例, 年龄33~68(45.0±11.1)岁。术中联合皮下、眼轮匝肌下联合入路, 分离形成颧前间隙及上颌前间隙, 在间隙内将眶隔脂肪瓣与眶隔瓣分层叠瓦缝合重置固定于眶下缘下方, 并联合能量止血设备对眶隔进行紧缩, 以重塑并加强下睑解剖结构。术后进行随访, 评估术后伤口愈合情况及并发症情况。结果 423例患者术后伤口均一期愈合。随访1~48个月, 无下睑退缩、下睑外翻等并发症, 下睑手术切口隐蔽平整, 泪沟及睑颊沟凹陷、下睑松弛均改善明显, 下睑形态自然。结论对于下睑袋皮肤松弛伴不同程度的泪沟及睑颊沟凹陷的患者, 该术式设计合理, 重置了眶隔脂肪和眶隔的结构, 效果可靠。
Objective To explore the clinical effect of rejuvenation of lower eyelid through orbital septum fat and orbital repositioning combined with thermal compression.Methods A total of 423 patients who underwent skin approach blepharoplasty with skin laxity accompanied by different degrees of lacrimal groove and palpebromalar groove deformity admitted to the Plastic Surgery Department of Hemangioma and Vascular Malformation,the Plastic Surgery Hospital of Chinese Academy of Medical Sciences,from April 2020 to January 2023 were selected,including 403 females and 20 males,aged 33-68(45.0±11.1)years.During the operation,the combined subcutaneous and suborbicularis oculi approaches were used to separate the prezygomatic space and premaxillary space.In the space,the orbital septum fat flap was fixed with the orbital septum flap under the infraorbital margin by lmbricate suture,and the orbital septum was tightened with energy hemostasis device to reshape and strengthen the anatomical structure of the lower eyelid.The patients were followed up to evaluate the incision healing and complications after surgery.Results All the 423 patients were followed up for 1-48 months.The patients were healed in one stage,without lower eyelid retraction,lower eyelid ectropion and other complications.The incision of the lower eyelid was concealed and smooth,and the depression of lacrimalgroove and palpebromalar groove and lower eyelid relaxation were improved significantly.Conclusions For patients with lower eyelid bag skin laxity and different degrees of lacrimal groove and palpebromalar groove depression,the surgical design is reasonable,and the structure of orbital septum fat and orbital septum is reset,and the effect is reliable.
作者
张晔
王维新
陈威威
杨晓楠
Zhang Ye;Wang Weixin;Chen Weiwei;Yang Xiaonan(Department of Hemangioma and Vascular Anomalies,Plastic Surgery Hospital,Chinese Academy of Medical Sciencesand Peking Union Medical College,Beijing 100144,China)
出处
《中华医学美学美容杂志》
2024年第4期312-315,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
2019年国家重大疾病多学科合作诊疗能力建设项目(1112320139)
国家重点专科能力建设项目(23003)。
关键词
眼睑成形术
下睑袋
眶隔重置
叠瓦式缝合
能量止血设备
年轻化
Blepharoplasty
Lower eyelid pouch
Orbital septum reset
Imbricatesuture
Energyhemostasis device
Rejuvenation
