摘要
目的 探讨下睑眶缘凹陷型睑袋的整复方法。方法 27例下睑眶缘凹陷型睑袋要求整复的患者,其中13例选择结膜径路,切除眶内膨出的脂肪并将之即时回植充填于凹陷的下眶缘;14例选择皮肤径路,打开近眶缘端的眶隔膜后,将膨出的脂肪去除,剩余脂肪以“脂肪瓣”的形式间断缝合于眶缘骨膜上或不打开眶隔膜,将眶隔大部分游离并翻转后间断缝合于眶缘骨膜上。结果 患者术后脸颊平整自然,外形改善明显,随访3～15个月,效果满意。结论 应用眶脂肪回植充填或眶脂肪瓣转移充填,既能消除下睑局部的“囊袋”状膨出,又能平复下睑眶缘的凹陷,不失为整复眶缘凹陷型下睑袋的一种好方法。
Objective To find a new method to diminish the baggy eyelid. Methods Among 27 patients with baggy lower eyelid complieated with concavity upon lower orbital edge, 13 underwent transconjunctival approach below tarsal plate and 14 underwent transcutaneous approach at eyelid border. Transconjunctival approach below tarsal plate referred to removing the herniated periorhital fat and filling it into the concavity or the concavity being fulfilled with autofat granule injection 3 months later. Transcutane-ous approach at eyelid border referred to the fascia of orbital septum towards the concavity being opened to release the bulging fat which was cut and the remnant was pulled down as fat flaps. The fat flaps were sutured to the periosteum of the lower orbital edge,covering the concavity upon the edge. Results The appearance of lower eyelid improved obviously. After 3-15 months follow-up, the results were satisfactory. Conclusion The method filling with the peri-orbital fat or with the bulging fat of the lower eyelid can repair baggy lower eyelid complicated with concavity upon lower orbital edge. It can be regared as a good operation of hollow of the eye socket.
出处
《上海第二医科大学学报》
CSCD
2003年第5期458-459,462,共3页
Acta Universitatis Medicinalis Secondae Shanghai
