摘要
目的探讨眶隔脂肪瓣联合游离脂肪矫正中重度上睑凹陷及多重睑的方法。方法2017年3月至2019年3月,厦门大学附属第一医院思明院区医疗美容科对中重度上睑凹陷及多重睑的患者20例(男1例,女19例;年龄20~47岁,平均29岁),将脐下游离脂肪块填充于释放平铺的眶隔脂肪层上。结果20例患者手术成功,效果满意。术后3个月内,肿胀逐渐消退。术后3~12个月,患者上睑凹陷均有明显改善,眼睑外形基本稳定;受区上眼睑脂肪存活良好,上眼睑触摸无硬节,重睑弧度理想,均比术前明显改善。结论眶隔脂肪瓣联合游离脂肪块矫正上睑凹陷及多重睑的方法,存活率稳定,可较好地改善上睑凹陷以及多重睑,术后并发症较少,值得临床应用。
Objective To evaluate the use of orbital fat flap combined with free fat for the treatment of the moderately or severe sunken upper eyelid and multiple folded upper eyelids.Methods From March 2017 to March 2019,orbital fat release and replacement and free abdominal fat transfer graft were adopted to treat 20 patients(1 male,19 females,aged 20-47 years,with an average age of 29 years)with sunken upper eyelids of multiple folds in Department of Plastic and Reconstructive Surgery,the First Affiliated Hospital of Xiamen University Siming Branch.Results Twenty cases were treated successfully.The swelling gradually disappeared at 3 month postoperatively.Patients were followed up for 3 months to 12 months with sustained aesthetic results;no complications occurred.Free fat graft survived well,and no obvious scar,sags,or crests were present in the upper eyelid.Conclusions It is a reasonable method for correcting sunken upper eyelid and multiple folds with orbital fat flap and free fat.Survival rate of the free fat is quite high in sunken upper eyelid.It is worth spreading.
作者
徐洋
梁赞姜
蒋媛媛
Xu Yang;Liang Zanjiang;Jiang Yuanyuan(Department of Plastic and Reconstructive Surgery,the First Affiliated Hospital of Xiamen University Siming Branch,Xiamen 361001,Fujian Province,China;Wenzhou Heping Cosmetic Hospital,Wenzhou 325000,Zhejiang Province,China;Department of Ultrasonic Imaging,the First Affiliated Hospital of Xiamen University,Xiamen 361001,Fujian Province,China)
出处
《中华医学美学美容杂志》
2021年第3期191-194,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
眼睑成形术
上睑凹陷
眶隔脂肪
游离脂肪
Blepharoplasty
Upper eyelids depression
Orbital septum fat
Free fat
