眶外脂肪重置联合眼轮匝肌肌瓣折叠矫正重度上睑凹陷伴多重睑的临床效果
Clinical effect of orbital fat replacement combined with orbicularis oculi muscle flap folding for correction of severe upper eyelid depression with multiple eyelid
目的 探讨眶外脂肪重置联合眼轮匝肌肌瓣折叠矫正重度上睑凹陷伴多重睑方法及疗效.方法 2014年1月至2017年1月,江苏省淮安市第二人民医院整形外科共收治重度上睑凹陷伴多重睑患者26例,其中生理性凹陷伴多重睑18例,手术不当形成上睑凹陷伴多重睑8例,均采取眶外脂肪重置联合眼轮匝肌瓣折叠进行治疗.随访6~12个月,平均8.5个月.结果 23例上睑凹陷伴多重睑得到矫正,3例上睑凹陷伴多重睑凹陷程度减轻,多重睑消失,其中5例术前伴轻度上睑下垂患者,经过手术后症状明显改善.结论 眶外脂肪重置联合眼轮匝肌肌瓣折叠治疗上睑凹陷伴多重睑方法可行,安全有效.
更多Objective To explore the method and effect of orbital lateral fat replacement combined with orbicularis oculi muscle flap for correction of severe upper eyelid depression with multiple eyelid.Methods From January 2014 to January 2017,26 patients with severe upper eyelid sag with multiple eyelid were treated in Department of Plastic Surgery,Huai'an Second People's Hospital,including 18 cases of multiple physiological sag eyelid,improper operation on the formation of 8 cases of multiple eyelid eyelid sag.All the patients adopt outside orbital fat reset with the orbicularis muscle flap folded for the treatment.Results The follow-up time was 6 months to 1 year,with an average of 8.5 months.23 patients with upper eyelid sag with multiple eyelid were rectified,3 cases of upper eyelid depression associated with multiple eyelid depression alleviated,multiple eyelid disappeared,including 5 cases of preoperative patients with mild ptosis,and symptoms improved after surgery.Conclusions The orbital lateral fat replacement combined with orbicularis oculi muscle flap folding is a safe and effective treatment for upper eyelid depression with multiple eyelid.
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