Clinical application of orbicularis oculi muscle-septoaponeurosis junctional thickening fixation technique in double-eyelid surgery
10.3760/cma.j.cn114453-20201116-00577
- VernacularTitle:眼轮匝肌-眶隔腱膜联合增厚区固定技术在重睑成形术中的应用
- Author:
Gang CHEN
1
;
Tianqi ZHANG
;
Xiaodong CHEN
;
Fangliang YANG
;
Jinlong HUANG
Author Information
1. 南京中医药大学附属医院整形外科 210029
- Keywords:
Orbit;
Aponeurosis;
Oculomotor muscles;
Blepharoplasty
- From:
Chinese Journal of Plastic Surgery
2021;37(8):916-921
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of orbicularis oculi muscle(OOM)-septoaponeurosis junctional thickening area (SAJT)fixation technique in double eyelid plasty.Methods:From June 2016 to March 2019, patients who received double eyelid blepharoplastyby OOM-SAJT technology in plastic surgery department of Affiliated Hospital of Nanjing University of Traditional Chinese Medicine were retrospectively analyzed. All the patients underwent double eyelid surgery for the first time or only received catgut embedding surgery. During the operation, the orbital septum was opened and the remnant of the orbital septum was trimmed to expose the SAJT fixation. The dermis and orbicularis oculi muscle of the lower flap were sutured to the SAJT fixation. The symmetry, fluency, shedding or shallowing, wound healing, scar and complications of double eyelid were observed after operation.Results:A retrospective review of 1 384 patients (136 males and 1 248 females, aged from 17 to 45) who had undergone double eyelid surgery using OOM-SAJT fixation technique were collected. All patients, in which 1 173 cases underwent double eyelid operation for the first time and 211 cases of revision surgery were performed successfully. All the incisions healed without obvious hematoma and swelling. There were 12 cases of double eyelid disappearance, 8 cases of asymmetry, 9 cases of irregularity. But in most patients, the curvature of the double eyelid is natural and smooth, the eyelashes are upturned dynamically with their eyes open, and the skin of upper eyelid is flat when their eyes are closed without obvious depression, scar or fleshy phenomenon.Conclusions:The double-eyelid surgery using OOM-SAJT fixation technique can result in double eyelids close to physiological anatomical structure. This technique is applicable, anatomically compatible, and results in stable double eyelids.
