CAJ | 학술논문

目的探讨上睑眶隔脂肪重置及眶脂肪包膜内脂肪颗粒填充矫正上睑凹陷的手术方法及疗效.方法对48例上睑凹陷者,采用切开法重睑成形术常规切口,水平切开眼轮匝肌,剪开眶隔膜,显露眶脂肪,松解眶脂肪包膜与眶隔膜间的疏松连接,将移位的眶脂肪牵引、复位到凹陷区,并做定位缝合.对眶脂肪容量不足的患者,在凹陷区的眶脂肪包膜内注入适量脂肪颗粒,并向后上方部分推移,达眶上缘空虚的区域,复位眶隔膜以补不足,常规缝合切口.结果 48例(96只眼)中32例(64只眼)获6～42个月随访,平均随访11个月,上睑凹陷消失,重睑线流畅、两侧对称,眼部外观接近美学标准,无并发症.结论对上睑凹陷患者,施行眶脂肪重新分配和(或)眶脂肪包膜内脂肪颗粒移植,使眶脂肪的位置和容量达到解剖结构上的恢复,有利于眼外形的美化,可取得良好的手术效果.
목적 탐토상검광격지방중치급광지방포막내지방과립전충교정상검요함적수술방법급료효.방법 대48례상검요함자,채용절개법중검성형술상규절구,수평절개안륜잡기,전개광격막,현로광지방,송해광지방포막여광격막간적소송련접,장이위적광지방견인、복위도요함구,병주정위봉합.대광지방용량불족적환자,재요함구적광지방포막내주입괄량지방과립,병향후상방부분추이,체광상연공허적구역,복위광격막이보불족,상규봉합절구.결과 48례(96지안)중32례(64지안)획6～42개월수방,평균수방11개월,상검요함소실,중검선류창、량측대칭,안부외관접근미학표준,무병발증.결론 대상검요함환자,시행광지방중신분배화(혹)광지방포막내지방과립이식,사광지방적위치화용량체도해부결구상적회복,유리우안외형적미화,가취득량호적수술효과.
Objective To study the effect and methods of orbital septum fat redistribution or autogenous orbital septum granular fat transplantation methods on upper eyelid depression.Methods Blepharoplasty incision was used to cut open musculus orbicularis oculi and septum orbitale horizontally,exposuring orbital fat,the conjunction was relieved between orbit fat envelope and septum orbitale,displaced orbital fat was extended and replaced to the depression region of upper eyelid,and the wound was routinely sutured.For orbital septum fat volume depletion,appropriate amount of granular fat was injected into depression region and put fat backward upto supraorbital margin.Then,resetting orbital septum and closing incision were conducted with suture technique of blepharoplasty.Results Of 48 cases (96 eyes),32 cases was followed-up for 6 to 42 months with mean of 11 months.All cases got ideal outcomes,with smooth and symmetry lid folds,depression of upper eyelid were fixed and no complication occurred.Conclusions Orbital septum fat redistribution or autogenous orbital septum granular fat transplantation can anatomically reduce the fat distribution of upper eyelid.This method is easy and effective to improve the appearance of eyelid.