改良眼袋整复术在下睑年轻化治疗中的临床观察

doi:10.3969/j.issn.2095-378X.2020.04.010

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (4): 253-256.doi: 10.3969/j.issn.2095-378X.2020.04.010

改良眼袋整复术在下睑年轻化治疗中的临床观察

胡兴伟¹, 马凌云²

1.上海新视界眼科医院眼整形科,上海 200050;
2.同济大学附属同济医院眼科,上海 200065

收稿日期:2020-08-18 发布日期:2021-05-31
作者简介:胡兴伟（1977—）,女,大学本科,主治医师,从事眼表疾病与整形科;电子信箱:csyhxw731180@163.com

Clinical observation of modified lower blepharoplasty for lower eyelid rejuvenation

HU Xingwei¹, MA Lingyun²

1. Department of Plastic Surgery, Shanghai Xinshijie Eye Hospital, Shanghai 200050, China;
2. Department of Ophthalmology, Tongji Hospital Affiliated to Tongji University, Shanghai 200065,China

Received:2020-08-18 Published:2021-05-31

摘要/Abstract

摘要： 目的探讨改良眼袋整复术在下睑年轻化治疗中的临床疗效。方法回顾性研究2018年5月—2020年5月就诊的101例行皮肤入路的改良眼袋整复术的患者临床资料。手术主要包括皮下及肌下剥离、眶隔脂肪释放、移位、轮匝肌及SOOF（轮匝肌下脂肪）提升、外眦锚定、眼台重建,对术后临床疗效进行评价。结果 101例患者的下睑皮肤松弛、眼袋、泪沟畸形、中面部下垂等外观均有不同程度的改善。其中显效79例（78.22%）,有效31例（30.69%）,无效1例（0.9%）,总有效率99%。1例出现轻度下睑外翻,早期给予外侧睑板条悬吊术后即刻恢复,并发症发生率为0.9%;患者术前及术后1、3、6个月的满意度评分分别为（1.66±0.48）分、（3.92±0.76）分、（4.32±0.62）分、（4.62±0.55）分,术后与术前评分比较,其差异具有统计学意义（P<0.05）。结论改良眼袋整复术,能有效获得良好的下睑年轻化效果,具有整体疗效好、并发症少、效果持久、满意度高等优势。

关键词: 改良眼袋整复术, 眶隔脂肪释放, 泪沟填充, 中面部提升, 下睑年轻化

Abstract: Objective To explore the clinical effect of modified lower blepharoplasty for lower eyelid rejuvenation. Methods A total of 101 cases treated by modified lower blepharoplasty with skin incision from May 2018 to May 2020 were selected in the retrospective analysis. Surgical procedures included subcutaneous and muscular decohesion, orbital septum fat release and displacement, orbicularis oculi muscle and suborbicularis oculi fat （SOOF） lifting, lateral canthal anchoring, and pretarsal fullness reconstruction of the lower eyelid. Postoperative clinical effect was evaluated. Results In the selected 101 patients, the appearances of blepharochalasis, lower eyelid bags, lacrimal sulcus deformity, middle face ptosis were improved with varying degrees. Among them, 79 cases （78.22%） were markedly effective, 31 cases （30.69%） were effective, and 1 case （0.9%） was ineffective; the total effective rate was 99%. One case developed mild lower eyelid ectropion and recovered immediately after lateral tarsal strip procedure; the complication rate was 0.9%. The preoperative and postoperative 1-, 3-, and 6-month satisfaction scores of the patients were 1.66±0.48, 3.92±0.76, 4.32±0.62, and 4.62±0.55, respectively. The difference between postoperative and preoperative scores was statistically significant （P<0.05）. Conclusion Modified lower blepharoplasty can effectively rejuvenate lower eyelid, with the advantages of good and permanent overall effect, fewer complications, and high satisfaction.

Key words: Modified lower blepharoplasty, orbital septum fat release, Lacrimal sulcus deformity, Middle face ptosis, Lower eyelid rejuvenation

中图分类号:

R622

胡兴伟, 马凌云. 改良眼袋整复术在下睑年轻化治疗中的临床观察[J]. 外科研究与新技术, 2020, 9(4): 253-256.

HU Xingwei, MA Lingyun. Clinical observation of modified lower blepharoplasty for lower eyelid rejuvenation[J]. Surgical Research and New Technique, 2020, 9(4): 253-256.

参考文献

[1] 田孝臣,岳纪良.眼袋的形成与治疗进展[J].中华整形外科杂志,2000,16(1):53-55.
[2] 曹仁昌. 眼整形艺术[M].台北:力大图书有限公司,2016:277-328.
[3] 毕玉玲,韩登梅,周自强.四步法睑袋整形术疗效及术后并发症观察[J].中国美容医学,2019,28(4):23-25.
[4] Rod J, Rohrich M D, Amanda A, et al.Current preferences for breast reduction techniques: a survey of board-certified plastic surgeons [J].Plast Reconstr Surg, 2004,14(7):1724-1733.
[5] 王睿恒,秦晓,杨力.体现眶周“画框”美学理念的眶隔脂肪释放法睑袋整复术[J].中国美容整形外科杂志,2020,31(5):257-259.
[6] Liu Y, Xiao M, Zhao Y, et al.Safety and efficacy of a trans-eyelid facial rejuvenation surgery combining Partial Repositioning of Orbital Fat and Midface Lift in Chinese patients: a prospective case series[J].Ann Otol Rhinol Laryngol, 2019,128(10):970-977.
[7] Massry G G.Comprehensive lower eyelid rejuvenation[J].Facial Plast Surg, 2010,26(3):209-221.
[8] Montes J R.Volumetric considerations for lower eyelid and midface rejuvenation[J].Curr Opin Ophthalmol,2012,23(5):443-449.
[9] Park S, Kim B, Shin Y.Correction of superior sulcus deformity with orbital fat anatomic repositioning and fat graft applied to retroorbicularis oculi fat for Asian eyelids[J].Aesthetic Plast Surg, 2011,35(2):162-170.
[10] Youn S, Shin JI, Kim JT, et al.Transconjunctival subperiosteal fat reposition for tear trough deformity: pedicled fat redraping versus septal reset[J].Ann Plast Surg, 2014,73(5):479-484.
[11] Wong C H, Hsieh M K, Mendelson B.The tear trough ligament: anatomical basis for the tear trough deformity[J].Plast Reconstr Surg,2012,129(6):1392-1402.
[12] Huang Z, Lee Y, Yan G, et al.Downward rotation of the capsulopalpebral fascia,orbital septum,and orbital fat complex:a new technique for lower eyelid rejuvenation[J].Plast Reconstr SurgGlob Open,2019,7(8):e2335.
[13] Sternc S, Schreiber J E, Surekcc, et al. Three-dimensional topographic surface changes in response tocompartmental volumization ofthe medial cheek: defininga malar augmentation zone[J].Plast Reconstr Surg,2016,137(5):1401-1408.
[14] 孟杰,罗赛,徐海倩,等眶缘韧带松解、眶内脂肪释放、眶隔重置矫正伴泪槽沟的睑袋畸形[J].中国美容整形外科杂志,2019,30(2):81-83.
[15] 金石峰,王晨超,郭澍,等.改良眶隔脂肪释放睑袋整复术在下睑凹陷伴泪沟畸形中的应用分析[J].中国美容整形外科杂志,2019,30(4):243-244.
[16] 张晔,习耀峰,陈荣,等.A型肉毒毒素联合眼袋整形术对眼周皮肤松弛患者的疗效观察[J].现代生物医学进展,2017,17(25):4944-4947.
[17] 张祥运,林秀峰,龙武军,等.眶隔释放联合外眦锚着技术在眼袋整形中的应用[J].华西医学,2017,32(7):1054-1056.
[18] 唐文齐. 改良肌皮瓣法及眶隔固定术应用在眼袋整形中的临床效果观察[J].中国医疗美容,2016,6(9):3-5.
[19] 廖莉,余文捷,杨军,等.睑袋改良整形术在中面部年轻化中的应用[J].中国美容整形外科杂志,2018,29(11):683-685.
[20] Chatel H, Hersant B, Bosc R, et al.Meningaud.Midface rejuvenation surgery combining preperiosteal midcheek lift, lower blepharoplasty with orbital fat preservation and autologous fat grafting[J].J Stomatol Oral Maxillofac Surg,2017,118(5):283-288.
[21] Sullivan P K, Drolet B C.Extended lower lid blepharoplasty for eyelid and midface rejuvenation[J].Plast Reconstr Surg,2013,132(5):1093-1101.
[22] Shoukath S, Taylor G, Mendelson B C, et al.The lymphatic anatomy of the lower eyelid and conjunctiva and correlation with postoperative chemosis and edema[J].Plast Reconstr Surg,2017,139(3):628e-637e.

改良眼袋整复术在下睑年轻化治疗中的临床观察

Clinical observation of modified lower blepharoplasty for lower eyelid rejuvenation

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