[Clinical application of orbicularis flap for eyelid groove deformity ].

中华整形外科杂志 Pub Date : 2016-03-01
Benshou Zhang, Xiangbing Shui, Hui Chu, Zengnan Li, Chao Xie, Zhijiu Xu
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引用次数: 0

Abstract

Objective: To discuss the correction of lower baggy eyelid with severe tear trough and eyelid sulcus (groove deformity) and its therapeutic effect.

Methods: Through incision at the lower eyelid margin, the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum. The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum. If the depression was not completely corrected, the extra orbicularis fixed with periosteum. If the depression was not completely corrected, the extra orbicularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity.

Results: 60 cases were treated with no depression or unsmooth deformity. All the cases were followed up for 3-12 months with satisfactory aesthetic effect.

Conclusions: Orbicularis flap combined with orbital fat reposition is a simple and effective method for correction of tear trough and eyelid sulcus deformity.

[眼轮匝肌瓣治疗眼睑沟畸形的临床应用]。
目的:探讨重度泪沟(沟)畸形下睑下垂的矫治及治疗效果。方法:通过下睑缘切口,在眶轮匝肌深表面进行剥离,暴露眶隔和下眶缘骨膜。将眶隔释放的眶脂肪重新定位于眶下缘并固定于骨膜上。如果凹陷未完全矫正,则用骨膜固定外轮匝肌。如果凹陷未完全矫正,则将外轮匝肌设计为带内蒂的肌肉瓣,进一步矫正沟状畸形。结果:60例患者术后无凹陷或畸形。术后随访3-12个月,美观效果满意。结论:眶轮匝肌瓣联合眶脂肪复位是一种简单有效的睑沟撕裂畸形矫正方法。
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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CiteScore
0.20
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