Clinical effect of orbital fat replacement combined with orbicularis oculi muscle flap folding for correction of severe upper eyelid depression with multiple eyelid
10.3760/cma.j.issn.1671-0290.2018.05.008
- VernacularTitle:眶外脂肪重置联合眼轮匝肌肌瓣折叠矫正重度上睑凹陷伴多重睑的临床效果
- Author:
Yongfeng XIE
1
;
Wenbin CHEN
;
Xianglong LI
Author Information
1. 223301,淮安市第二人民医院整形外科
- Keywords:
Upper eyelid depression;
Orbicularis oculi muscle flap;
Lateral orbital fat;
Transposition;
Plication
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2018;24(5):320-323
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the method and effect of orbital lateral fat replacement combined with orbicularis oculi muscle flap for correction of severe upper eyelid depression with multiple eyelid.Methods From January 2014 to January 2017,26 patients with severe upper eyelid sag with multiple eyelid were treated in Department of Plastic Surgery,Huai'an Second People's Hospital,including 18 cases of multiple physiological sag eyelid,improper operation on the formation of 8 cases of multiple eyelid eyelid sag.All the patients adopt outside orbital fat reset with the orbicularis muscle flap folded for the treatment.Results The follow-up time was 6 months to 1 year,with an average of 8.5 months.23 patients with upper eyelid sag with multiple eyelid were rectified,3 cases of upper eyelid depression associated with multiple eyelid depression alleviated,multiple eyelid disappeared,including 5 cases of preoperative patients with mild ptosis,and symptoms improved after surgery.Conclusions The orbital lateral fat replacement combined with orbicularis oculi muscle flap folding is a safe and effective treatment for upper eyelid depression with multiple eyelid.