CAJ | 학술논문

目的探讨在上睑手术中应用眶隔脂肪瓣移位矫正上睑内侧凹陷的方法及特点.方法采用常规重睑切口,暴露眶隔,利用上睑眶隔脂肪的中央脂肪垫与中央脂肪垫的外侧延伸部相连的解剖学特点,将中央脂肪垫的外侧延伸部完全游离,形成以中间脂肪团为蒂的脂肪条,于眶隔内从中间至内侧形成隧道,将脂肪条通过隧道移位至内侧眶隔内,并缝合固定,余行重睑术.结果 2008年3月至2013年10月于临床应用51例,手术成功,重睑效果满意.术后随访3个月至3年,平均7.5个月,脂肪无吸收,效果稳定.结论采用眶隔脂肪瓣移位可以有效地矫正上睑凹陷,应该成为上睑成形术中重要的一个常规附加术式.
목적 탐토재상검수술중응용광격지방판이위교정상검내측요함적방법급특점.방법 채용상규중검절구,폭로광격,이용상검광격지방적중앙지방점여중앙지방점적외측연신부상련적해부학특점,장중앙지방점적외측연신부완전유리,형성이중간지방단위체적지방조,우광격내종중간지내측형성수도,장지방조통과수도이위지내측광격내,병봉합고정,여행중검술.결과 2008년3월지2013년10월우림상응용51례,수술성공,중검효과만의.술후수방3개월지3년,평균7.5개월,지방무흡수,효과은정.결론 채용광격지방판이위가이유효지교정상검요함,응해성위상검성형술중중요적일개상규부가술식.
Objective To discuss the operation method and characteristic of correcting upper eyelid depression by transposition of orbital septum fat.Methods During the double eyelid surgery,we set.the lateral orbital septum fat completely free,while the bottom is still connected with the middle orbital septum fat.We separate a tunnel from the middle to the inner side in orbital septum,and the separated orbital septum fat is transposed to the inner side of orbital septum by the tunnel with suturing fixation.Results From March 2008 to October 2013,51 cases with upper eyelid depression were treated successfully.Patients were followed up for 3 months to 3 years (average,7.5 months) with sustained aesthetic results.Conclusions Orbital septum fat transposition can successfully correct the upper eyelid depression.It should become a regular procedure in blepharoplasty.