眶隔筋膜缩紧在伴眶下缘凹陷畸形的眼袋整形术中的应用

发布时间：2018-06-09 02:41

本文选题：眼袋 + 眶下缘凹陷　；参考：《第三军医大学学报》2014年17期

【摘要】：目的探讨伴有眶下缘凹陷畸形的眼袋整形方法。方法采用经皮入路,在眼轮匝肌与眶隔间分离,于眶下缘剪开眶隔膜,将眶脂肪与眶隔膜缝合固定于眶下缘骨膜上,以收紧眶隔膜及填充眶下缘凹陷。结果本组360例,术后7 d伤口愈合,无睑外翻等并发症。289例随访6~12个月,1例术后1个月左侧眶下缘处有增生硬结,注射曲安奈德后软化平整;2例眶下缘填充欠佳,经自体脂肪移植后效果满意。余286例眼袋、眶下缘凹陷均得以矫正,医患双方满意。结论眶隔紧缩、眶脂肪填充可以有效矫正眶下缘凹陷,恢复眶前壁的张力,适用于伴有眶下缘凹陷眼袋的患者。
[Abstract]:Objective to explore the method of pouch plastic surgery with deformity of lower orbital margin. Methods the orbital septum was cut off from the orbicularis oculi muscle and the orbital septum through percutaneous approach. The orbital fat and the orbital septum were sutured and fixed on the periosteum of the lower orbital margin to tighten the orbital septum and fill in the depression of the lower orbital margin. Results 360 cases, 7 days after operation, the wound healed, no ectropion and other complications were followed up for 6 ~ 12 months, 1 case had hyperplastic sclerodles at the lower margin of the left orbit 1 month after operation, and 2 cases were infused with triamcinolone acetonide, and 2 cases were not well filled with the lower orbital margin after injection of triamcinolone acetonide. The effect of autologous fat transplantation was satisfactory. In the remaining 286 cases, the pouch of the lower orbital margin was corrected and the doctors and patients were satisfied. Conclusion the compression of orbital septum and the filling of orbital fat can effectively correct the depression of the lower orbital margin and restore the tension of the anterior orbital wall. It is suitable for the patients with orbital concave pouch.
【作者单位】：武汉科技大学附属天佑医院整形美容科;
【分类号】：R779.6;R622

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