Application of 22G needle-guided suture to transcutaneous orbital septum fat release and transposition over the orbital rim
10.3760/cma.j.cn114453-20240622-00162
- VernacularTitle:22G针头导引固定法在皮肤入路弓状缘释放眶隔脂肪重置术中的应用
- Author:
Qinghua LI
1
;
Qiong GAO
1
;
Guangwei ZENG
1
;
Xinjian HUANG
1
;
Yongfei XU
1
;
Shuang CHEN
1
;
Yongqiang REN
1
Author Information
1. 河南科技大学临床医学院 河南科技大学第一附属医院烧伤整形美容科，洛阳 471003
- Publication Type:Journal Article
- Keywords:
Lower eye bag;
Tear trough deformity;
Lower blepharoplasty;
Orbital septum release;
22G needle-guided suture
- From:
Chinese Journal of Plastic Surgery
2025;41(1):32-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyze the feasibility and efficacy of the 22G needle-guided suture for orbital septum fat flap fixation on the periosteum.Methods:The retrospective study was conducted. From January 2022 to November 2023, patients with tear trough deformity and eyelid bags underwent surgery of releasing the orbicularis retaining ligament (ORL) complex, orbital septum fat pad combined with 22G needle-guided suture in Department of Burn and Plastic Surgery, the First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology. Postoperative follow-up was conducted to observe the occurrence of complications. The lacrimal depression deformity was classified according to the Hirmand standard and the degree of lower eyelid bags was graded to evaluate the surgical outcome. Patients were evaluated their satisfaction using the visual analogue scale (very dissatisfied, dissatisfied, average, satisfied, very satisfied).Results:A total of 32 patients (30 females and 2 males) were included in this study. The age range was 31-62 years old with an average of 50.2 years. All patients were followed up for 6 months postoperatively. None of the patients had any severe complications, such as inferior eyelid ectropion, inferior eyelid retraction, scar hyperplasia, and diplopia. Four patients showed mild eyelid-eyeball separation, two patients had conjunctival edema, and all recovered in 1 month. The orbital fat protrusion, tear trough depression deformity, and lower eyelid skin laxity were significantly improved compared to before the operation. Postoperative satisfaction was 22 cases, very satisfied 10 cases, and patient satisfaction rate was 100% (32/32) after surgery.Conclusion:The method of 22G needle-guided suture to fix orbital septum fat pad represents a technically feasible, easy, and suitable for promotion.
