Application of Pedicled Orbital Septum Fat Flap Rigid Fixation in Lower Eyelid Blepharoplasty
10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2021.0616
- VernacularTitle:带蒂眶隔内脂肪瓣牢固内固定在泪沟型眼袋治疗中的应用
- Author:
Zha RU
1
;
Ying HU
1
;
Li BAI
1
;
Lei ZHU
1
Author Information
1. Department of Plastic Surgery， The Third Affiliated Hospital of Sun Yat-sen University， Guangzhou 510630， China
- Publication Type:Journal Article
- Keywords:
lower eyelid blepharoplasty;
tear trough deformity;
pedicled orbital septum fat flap;
rigid fixation
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(6):931-936
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the value of pedicled orbital septum fat flap secured fixation in lower eyelid blepharoplasty. MethodsIn this retrospective study， 81 patients diagnosed as bulgy lower eyelid with tear trough deformity who underwent this procedure at the Department of Plastic Surgery of the Third Affiliated Hospital of Sun Yat-sen University between January 2018 and March 2021 were reviewed. Through a percutaneous or transconjunctival incision， the orbicularis oculi were completely released over tear trough deformity. And orbital septum fat was released and firmly sutured to deep fat pat or periosteum as a flap. Extra orbital septum fat， and extra skin for percutaneous approach was excised to correct bulgy lower eyelid. ResultsThe follow-up was three to twelve months. Bulgy lower eyelid and tear trough deformity were significantly improved. Among them， two patients had hematoma， one patient had eyelid ectropion， one patient had palsy of one side of the middle and lower face， three patients who underwent transconjunctival incision had foreign body sensation， and all of them recovered after two weeks to three months. No other complications were reported. ConclusionPedicled orbital septum fat flap secured fixation in lower eyelid blepharoplasty shows great effect for bulgy lower eyelid with tear trough deformity， and maintains low restoration rate and low complication.
