摘要
目的观察眶下缘钻孔式中面部提升术联合眼袋综合整复术的应用效果。方法回顾性分析2022年1月至2024年3月, 在西湖大学医学院附属杭州市第一人民医院医学美容中心行中面部提升术联合眼袋综合整复术的患者临床资料。采用下睑缘切口的眶下缘钻孔式中面部提升术联合眼袋综合整复术。通过下睑缘切口对膨出眼袋进行相应切除, 固定眶隔与眶下缘骨膜。在眶下缘内外侧钻孔, 并用2-0可吸收性外科缝线SXPP1A405进行弧形悬吊上提中面部。术后随访观察患者中面部提升效果、并发症发生情况。采用皱纹严重程度分级量表(WSRS)对患者手术前后鼻唇沟进行分级(分为5级, 级别越高鼻唇沟越明显)。采用Face-Q评分量表对患者进行术后面部整体满意度评分、手术决策评分、手术效果满意度评分(0~100分, 评分越高表明患者越满意或越不后悔做此手术)。采用描述性方法进行统计分析。结果共纳入43例患者, 男7例, 女36例, 年龄(50.6±12.2)岁(32~73岁)。术后随访(11.9±4.6)个月, 所有患者的眼袋、泪沟明显改善, 中面部上提明显, 鼻唇沟改善明显。手术并发症包括5例眼袋残留, 4例固定点偶发疼痛持续大于1个月, 4例轻微泪沟残留, 1例术后血肿。鼻唇沟WSRS分级, 术前为(3.7±0.9)级, 术后为(2.9±0.6)级。回收有效Face-Q评分量表38份, 面部整体满意度评分为(80.9±10.3)分, 手术决策评分为(82.4±8.9)分, 手术效果满意度评分为(81.5±9.1)分。结论采用眶下缘钻孔式中面部提升术联合眼袋综合整复术, 能够在切除眼袋的同时有效矫正中面部下垂问题, 钻孔固定点可靠, 提升效果稳定持久, 患者满意度高。
ObjectiveTo evaluate the clinical efficacy of infraorbital rim drilling midface lift combined with composite lower blepharoplasty.MethodsRetrospective analysis of clinical data from the patients who underwent combined midface lift and lower blepharoplasty at Department of Medical Cosmetic Center,Affiliated Hangzhou First People’s Hospital,Westlake University School of Medical,between January 2022 and February 2024.The infraorbital rim drilling midface lift combined with lower blepharoplasty was performed via a subciliary incision approach.Through a subciliary incision,the herniated orbital fat was excised,followed by fixation of the orbital septum to the infraorbital rim periosteum.Drill holes were created at the medial and lateral infraorbital rim,and arcuate suspension of the midface was performed using 2-0 absorbable sutures(SXPP1A405).Postoperative follow-up assessed midface lifting outcomes and complication rates.The wrinkle severity rating scale(WSRS)was used to grade nasolabial folds pre-and postoperatively(5-point scale:higher scores indicating more pronounced folds).Patient-reported outcomes were assessed using the Face-Q questionnaire,evaluating:(1)overall facial satisfaction,(2)satisfaction with surgical results,and(3)satisfaction with decision(scale 0-100;higher scores indicating greater satisfaction/less decisional regret).Descriptive statistical methods were employed for data analysis.ResultsA total of 43 patients were enrolled,comprising 7 males and 36 females,with a mean age of(50.6±12.2)years(range:32-73 years).Postoperative follow-up averaged(11.9±4.6)months.All patients demonstrated significant improvement in lower eyelid bags,tear trough deformity,midface elevation,and nasolabial folds.Surgical complications included:residual lower eyelid fat(n=5),intermittent fixation point pain persisting>1 month(n=4),mild residual tear trough deformity(n=4),and hematoma(n=1).Nasolabial fold WSRS scores decreased from(3.7±0.9)points to(2.9±0.6)points following surgery.In 38 patients,Face-Q scores demonstrated high satisfaction levels:appearance-related satisfaction scored(80.9±10.3)points and satisfaction with decision scored(82.4±8.9)points,indicating favorable patient-reported outcomes.ConclusionThe infraorbital rim drilling-assisted midface lift combined with comprehensive lower blepharoplasty effectively corrects midface ptosis while addressing lower eyelid bags.This technique provides reliable fixation points through drilling,resulting in stable and long-lasting lifting outcomes with high patient satisfaction.
作者
周圳滔
孙仲鑫
程含皛
祝飞
钱锡飞
张菊芳
Zhou Zhentao;Sun Zhongxin;Cheng Hanxiao;Zhu Fei;Qian Xifei;Zhang Jufang(Department of Medical Cosmetic Center,Affiliated Hangzhou First People’s Hospital,Westlake University School of Medical,Hangzhou 310006,China;Department of Plastic and Reconstructive Surgery,Ningbo No.6 Hospital,Ningbo 315040,China;The Fourth Clinical College of Zhejiang Chinese Medicine University,Hangzhou 310013,China)
出处
《中华整形外科杂志》
北大核心
2025年第9期945-950,共6页
Chinese Journal of Plastic Surgery
基金
杭州市医学重点学科建设项目(2025HZZD08)。
关键词
面部
眼眶
提升
中面部年轻化
眼袋
眶缘骨钻孔
定点悬吊
Face
Orbit
Lifting
Midface rejuvenation
Eyelid pouch
Orbital rim drilling
Anchored suspension
