眶隔脂肪移植在眶睑沟和眼鼻沟凹陷型睑袋矫治中的应用

目的:探讨眶隔脂肪移植在眼周整形中应用的手术方法。方法:保留眶隔脂肪,弓状缘释放,填充眶睑沟和眼鼻沟的凹陷,在眶隔与眼轮匝肌之间增加脂肪组织厚度,加强眶隔筋膜的张力,综合方法矫治眶睑沟和眼鼻沟凹陷型睑袋。结果:本组37例,术后随访3～6个月,1例眶隔脂肪较少,凹陷区矫正不足,2例矫正过度,再次手术去除适量脂肪,其余效果均满意。结论:术中保留眶隔脂肪、重置眶隔,加强了眶前壁的张力,保证了眶内外的生理屏障,使眼周组织在生理、解剖学方面更趋于合理,眼周形态更自然。

Application of correction of eyelid sulcus and the depressed ditch between eye and nose of the orbital fat’s transplant

Objective To investigate the surgery method of orbital fat’s transplant.Methods We reserved the orbital fat,release the arcuate edge,filled the depression of the orbital eyelid sulcus and the ditch between eye and nose,and increased the thickness of adipose tissue between the orbital septum and orbicularis muscle to strengthen the tension of the orbital fascia.Results There were 37 case,following visit for three to six months after the surgeon,there was one case which orbital fat was less,undercorrection on the depressed area,there are two cases which are overcorrected,reoperation to remove the right amount of fat,other cases are satisfying.Conclusion It is strengthen the tension of orbital anterior wall,ensure the physiological effect on both inside and outside the orbital,and making more reasonable and the shape more natural on physiology and anatomy,that we reserved the orbital fat and reset the orbital septum in operating.