CAJ | 학술논문

目的探讨睑袋合并严重沟槽畸形矫正的方法.方法通过下睑皮肤切口,在眼轮匝肌深面分离,暴露眶隔及眶下缘骨膜,充分分离颧前间隙,打开眶膈将眶脂肪游离、释放,然后重置于沟槽畸形处眼轮匝肌深面,与眶缘下方的骨膜缝合固定,若沟槽畸形矫正不满意,将眼轮匝肌肌皮瓣向上提拉展平,并嘱患者睁眼上视,将超出切口缘部分多余的肌皮瓣,设计成内侧蒂眼轮匝肌瓣,去除表皮后转位填充于沟槽畸形相对应的位置,缝合固定.结果临床治疗72例睑袋合并严重沟槽畸形患者,通过内侧蒂眼轮匝肌瓣转位及眶脂肪重置进行矫正.随访3～6个月,所有患者术后睑袋、泪槽沟及睑颊沟畸形均得到良好纠正.结论眶脂肪重置结合内侧蒂眼轮匝肌瓣转位矫正睑袋合并严重沟槽畸形是一种行之有效的好方法.
목적 탐토검대합병엄중구조기형교정적방법.방법 통과하검피부절구,재안륜잡기심면분리,폭로광격급광하연골막,충분분리권전간극,타개광격장광지방유리、석방,연후중치우구조기형처안륜잡기심면,여광연하방적골막봉합고정,약구조기형교정불만의,장안륜잡기기피판향상제랍전평,병촉환자정안상시,장초출절구연부분다여적기피판,설계성내측체안륜잡기판,거제표피후전위전충우구조기형상대응적위치,봉합고정.결과 림상치료72례검대합병엄중구조기형환자,통과내측체안륜잡기판전위급광지방중치진행교정.수방3～6개월,소유환자술후검대、루조구급검협구기형균득도량호규정.결론 광지방중치결합내측체안륜잡기판전위교정검대합병엄중구조기형시일충행지유효적호방법.
Objective To introduce the experience in the treatment of lower eyelid pouches complicated with lacrimal groove deformity by transposition of orbital fat and orbicularis muscle flap over the orbital rim.Methods An incision was made along the margin of lower eyelid and dissection was performed under the orbicularis muscle to expose the orbital septum and periosteum of lower orbital rim.The fat released from orbital septum was transposed just below the lower orbital rim and fixed on the periosteum.If lacrimal groove deformity was not corrected completely,the musculocutaneous flap,which may be excised beside the incision,was kept to correct the deformities further with only the muscle portion.Results 72 cases with lower eyelid pouches complicated with lacrimal groove deformities were treated with transposition of orbital fat and orbicularis muscular flaps.Satisfactory results were achieved in all the patients after a follow-up period of 3-6 months.Conclusion It is an effective and feasible technique to correct lacrimal groove deformities with transposition of orbital fat and orbicularis muscular flaps.