Clinical application of orbicularis flap for eyelid groove deformity

VernacularTitle:眼轮匝肌瓣在下睑袋伴沟槽畸形修复术中的应用
Author: Benshou ZHANG ¹ ; Xiangbing SHUI ; Hui CHU ; Zengnan LI ; Chao XIE ; Zhijiu XU
Author Information

1. 中国人民解放军第一○○医院整形外科
Keywords: Orbicularis flap; Baggy deformity of lower eyelid; Tear trough deformity; Palpbromalar groove deformity
From: Chinese Journal of Plastic Surgery 2016;32(2):122-125
CountryChina
Language:Chinese
Abstract: Objective To discuss the correction of lower baggy eyelid with severe tear trough and eyelid sulcus (groove deformity) and its therapeutic effect.Methods Through incision at the lower eyelid margin,the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum.The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum.If the depression was not completely corrected,the extra orbicularis fixed with periosteum.If the depression was not completely corrected,the extra orbicularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity.Results 60 cases were treated with no depression or unsmooth deformity.All the cases were followed up for 3-12 months with satisfactory aesthetic effect.Conclusions Orbicularis flap combined with orbital fat reposition is a simple and effective method for correction of tear trough and eyelid sulcus deformity.