Application of Wide, Adjustable External Traction Fixation in Conjunctival Approach Orbital Fat Reposition Surgery.

IF 1.4 4区医学 Q3 SURGERY

Annals of Plastic Surgery Pub Date : 2025-05-01 Epub Date: 2025-02-27 DOI:10.1097/SAP.0000000000004301

Huahui Zhang, Xiaohui Long, Guijuan He, Shengtao Weng

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引用次数: 0

Abstract

Background: The correction of tear trough deformities is a significant challenge. The aim of this study is to present a new technique of using wide, adjustable external traction fixation in conjunctival approach orbital fat reposition surgery.

Methods: This is a retrospective case series study conducted on 69 patients, aged 18 to 45 years, who underwent surgery for palpebral bags and tear trough deformities (TTD) between October 2022 and March 2024. During surgery, wide, adjustable external traction fixation was used in conjunctival approach orbital fat reposition surgery. The modified Barton classification is used to evaluate the tear trough deformity preoperatively and postoperatively. Patient satisfaction and complication were evaluated.

Results: Sixty-nine patients were enrolled in the study and completed the minimum follow-up period of 6 months. The mean follow-up period was 7.4 ± 1.2 months. There was a significant improvement in the grading of TTD before and after surgery, with an average preoperative TTD grade of 3.19 ± 0.69 and a postoperative grade of 0.84 ± 0.64 ( P < 0.001). No major complication was observed during the follow-up period.

Conclusions: For patients with palpebral bags and tear trough deformities without significant skin laxity, transconjunctival orbital septum fat reposition surgery with wide, adjustable external traction fixation is a safe, stable, and effective surgical option and is worthy of broader adoption.

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宽可调外牵引固定在结膜入路眶内脂肪复位手术中的应用。

背景：泪沟畸形的矫正是一个重大的挑战。本研究的目的是介绍一种在结膜入路眶内脂肪复位手术中使用宽、可调节外牵引固定的新技术。方法：对2022年10月至2024年3月期间接受睑袋和撕裂槽畸形（TTD）手术的69例患者进行回顾性病例系列研究，年龄18至45岁。手术中，宽、可调节外牵引固定用于结膜入路眶内脂肪复位手术。改良的Barton分型用于术前和术后评价撕裂槽畸形。评估患者满意度及并发症。结果：69例患者入组，完成了6个月的最短随访期。平均随访时间7.4±1.2个月。两组患者术前、术后TTD评分均有明显改善，术前TTD评分平均为3.19±0.69，术后TTD评分平均为0.84±0.64 （P < 0.001）。随访期间未见重大并发症。结论：对于无明显皮肤松弛的睑袋、撕裂槽畸形患者，经结膜眶隔脂肪复位手术加宽、可调节外牵引固定是一种安全、稳定、有效的手术选择，值得广泛采用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.