Clinical application of orbital septal fascial advancement in double eyelid plasty with slight ptosis
10.3760/cma.j.issn.1671-0290.2024.05.019
- VernacularTitle:眶隔筋膜前徙矫正轻度上睑下垂的效果
- Author:
Junbo ZHONG
1
;
Zhengyong LI
;
Binbin ZHANG
;
Renjun WANG
;
Jianlin HE
Author Information
1. 自贡市第四人民医院烧伤整形美容外科，自贡 643000
- Keywords:
Blepharoptosis;
Double eyelid plasty;
Orbital septal fascia;
Advancement
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(5):512-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of orbital septal fascia advancement in the correction of mild blepharoptosis.Methods:From December 2016 to January 2020, a total of 77 eyes of 56 patients with mild congenital ptosis who underwent double eyelid surgery were treated. The method of orbital septal fascia advancement was used to correct mild ptosis. Specifically, during double eyelid reconstruction, the orbital septum was opened and the orbital septal fascia about 2 mm in front of the fold was preserved. The posterior lip of the orbital septal fascia was pulled down to the upper part of the tarsal plate, and fixed on the tarsal plate with 3 stitches of 5-0 nylon suture, and appropriate adjustments were made to correct mild ptosis.Results:Patients (56 eyes of 40 cases) were followed up from 6 to 12 months (average 7.4 months), 46 eyes (82.1%) were satisfied with blepharoptosis correction, 8 eyes (14.3%) were basically satisfied with blepharoptosis correction, and 2 eyes (3.6%) were dissatisfied with blepharoptosis correction. 45 eyes (80.4%) were satisfied with blepharoplasty, 7 eyes (12.5%) were basically satisfied with blepharoplasty, and 4 eyes (7.1%) were dissatisfied with blepharoplasty. No double eyelid folds disappeared after surgery, and there were no complications such as incomplete closure, conjunctival prolapse, or exposed keratitis.Conclusions:The correction effect of blepharoptosis is good, and the reconstruction structure is stable with natural appearance, fast recovery and high satisfaction. Therefore, the method can be popularized.
