Effect of filling orbicularis muscle flap in correction of sunken upper eyelidsin subbrow blepharoplasty
10.3760/cma.j.issn.1671-0290.2024.01.011
- VernacularTitle:眉下切口提眉术中眼轮匝肌瓣填充矫正上睑凹陷的效果
- Author:
Hengxin LIU
1
;
Jiayang WANG
;
Siqi MU
;
Ziang ZHANG
;
Xi ZHANG
Author Information
1. 空军军医大学第一附属医院整形外科，西安 710032
- Keywords:
Blepharoplasty;
Inferior central pedicle;
Orbicularis oculi muscle flap;
Sunken upper eyelid;
Dermatochalasis
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(1):56-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of folding and filling the orbicularis muscle flap of the inferiorcentral pedicle in correction of sunken upper eyelids.Methods:From August 2020 to April 2022, 39 female patients aged 36-63 (47.1±6.3) years with dermatochalasis and sunken upper eyelid were admitted to the Plastic Surgery Department of the First Affiliated Hospital of Air Force Medical University. During the surgery, the orbicularis oculi muscle in the skin resection area was preserved and a muscle flap was formed with the central part of the lower margin of the incision as the pedicle, which was folded deep and filled in the anterior orbital septal space. 6 months after surgery, the Park method was used to compare the effects before and after surgery, and the doctors and patients were scored on the Global Aesthetic Improvement Scale, respectively.Results:Unilateral upper eyelid hematoma appeared in 1 patient and healed after local acupuncture and aspiration, unilateral incision induration appeared in 2 patients, and gradually disappeared after 6 months of follow-up. The wounds of other patients healed in one stage. All the 39 patients were followed up for 6-12 months. The scores of the Global Aesthetic Improvement Scale at 6 months after surgery were (4.12±0.95) for doctors and (3.82±1.27) for patients. Park method showed that the degree of sunken upper eyelid after surgery was significantly better than that before surgery, and the difference was statistically significant ( Z=-7.721, P=0.000). Conclusions:The folding and filling of the orbicularis muscle flap of the eye with the inferior central pedicle can correct the laxity of the upper eyelid and improve the sunken upper eyelid. This operation can make full use of local tissue, and the effect is simple and lasting.
