摘要
目的 探讨修复上睑睑板上凹陷畸形 (简称上睑凹陷 )的两种手术方法 ,试图为此类畸形的手术修复提供更佳手术方法。方法 分别采用筋膜脂肪复合组织游离移植法、眉脂肪垫翻转法两种修复手术。结果 采用眉脂肪垫翻转瓣修复 4例 ,随访 1年 ,脂肪无吸收 ,效果满意稳定。采用筋膜脂肪组织游离移植修复上睑凹陷伴上睑粘连重睑过宽畸形 5例 ,脂肪成活良好 ,随访 1年 ,脂肪有一定程度的吸收 ,上睑外形较满意。结论 眉脂肪垫瓣翻转法是修复上睑凹陷的新的手术方法 ,具有以下特点 :⑴转移到受区的脂肪组织具有血供 ,不吸收 ,效果持久稳定 ;⑵眉下脂肪垫与眶隔脂肪解剖结构极为相似 ,效果更佳、更自然 ;⑶供区与受区邻近 ,眉脂肪垫瓣易于转移 ;⑷供区无明显术后瘢痕 ,可同时修改眉型或行眉上提术。筋膜脂肪组织游离移植与单纯的脂肪组织游离移植相比具有较高的成活率 ,与受区部位的组织有结构的相似性 ,为上睑凹陷提供了较好的解剖上的修复 ,也是修复上睑凹陷可供选择的良好方法之一。
Objective To study the characteristics of two operation methods and to choose a better one for repairing the sunken upper eyelid deformity by comparing with the traditional operation methods. Methods Two kinds of operation method were used, in which the brow fat pad flap and free fascia fat tissue graft were transfered for repairing the sunken upper eyelid deformity. Results Four cases of sunken upper eyelid were repaired successfully using the transferring of brow fat pad flap. The operative results were satisfactory with less complications. The fat did not absorb after a year follow-up. Other 5 cases of sunken upper eyelid were repaired successfully using free fascia fat tissue graft. The fat absorbed a little after a year follow-up and the shape of the upper eyelid was satisfactory. Conclusion The inversion of brow fat pad flap is a new method to repair the sunken upper eyelid deformity and has the following advantages: ⑴the fat tissue transferred to the recipient site has good blood supply with no absorption, and the long term result is permanent; ⑵the construction of brow fat pad is similar to the orbital septum fat, and the result is better and more natural; ⑶the donor site is adjacent to the recipient site, and the brow fat pad can be transferred easily, and ⑷there is no apparent postoperative scar in the donor site. The fascia-fat composite is expected to have a better survival rate than free fat alone and to be lighter than a dermis-fat, and is much similar to the anatomical structure of the repair site. Therefore, the method of fascia fat graft is one of good methods to be selected to repair the sunken upper eyelid.
出处
《中华医学美学美容杂志》
2003年第4期215-217,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
