PDF(Pubmed)
Abstract：
UNASSIGNED: Tear trough deformity is one of the most common complaints in clinical settings. The correction of this groove is challenging in facial rejuvenation. The lower eyelid blepharoplasty varies with different conditions. A novel approach of using orbital fat in the lower eyelid to increase the volume of the infraorbital rim with granule fat injection has been applied in our institution for more than 5 years.
UNASSIGNED: This article aims to describe the detailed steps of our technique and verify its effectiveness by a cadaveric head dissection after surgical simulation.
UNASSIGNED: In this study, a total of 172 patients with tear trough deformity underwent lower eyelid orbital rim augmentation with fat filling in the sub-periosteum pocket. According to Barton\'s grades, 152 patients underwent lower eyelid orbital rim augmentation with orbital fat filling, 12 patients had it combined with autologous granule fat from other body parts, and 8 patients received only transconjunctival fat removal to correct tear trough.
UNASSIGNED: The modified Goldberg score system was used to compare preoperative and postoperative photographs. Patients were satisfied with the cosmetic results. Excessive protruding fat was released, and the tear trough groove was flattened by using autologous orbital fat transplantation. The lower eyelid sulcus deformities were well-corrected. To further illustrate the anatomical structure of the lower eyelid area and injection layers, six cadaveric heads were used for surgical simulation and demonstrated the effectiveness of our technique.
UNASSIGNED: This study indicated that the infraorbital rim could be increased by transplanting orbital fat to the pocket, which was dissected under the periosteum, and the procedure has been verified as reliable and effective.
UNASSIGNED: Level II.
UNASSIGNED: This article aims to describe the detailed steps of our technique and verify its effectiveness by a cadaveric head dissection after surgical simulation.
UNASSIGNED: In this study, a total of 172 patients with tear trough deformity underwent lower eyelid orbital rim augmentation with fat filling in the sub-periosteum pocket. According to Barton\'s grades, 152 patients underwent lower eyelid orbital rim augmentation with orbital fat filling, 12 patients had it combined with autologous granule fat from other body parts, and 8 patients received only transconjunctival fat removal to correct tear trough.
UNASSIGNED: The modified Goldberg score system was used to compare preoperative and postoperative photographs. Patients were satisfied with the cosmetic results. Excessive protruding fat was released, and the tear trough groove was flattened by using autologous orbital fat transplantation. The lower eyelid sulcus deformities were well-corrected. To further illustrate the anatomical structure of the lower eyelid area and injection layers, six cadaveric heads were used for surgical simulation and demonstrated the effectiveness of our technique.
UNASSIGNED: This study indicated that the infraorbital rim could be increased by transplanting orbital fat to the pocket, which was dissected under the periosteum, and the procedure has been verified as reliable and effective.
UNASSIGNED: Level II.
摘要：
■泪槽畸形是临床上最常见的疾病之一。这种凹槽的矫正在面部年轻化中是具有挑战性的。下眼睑眼睑成形术随不同情况而变化。在下眼睑中使用眼眶脂肪通过颗粒脂肪注射增加眶下缘体积的新方法已在我们机构中应用了5年以上。
■本文旨在描述我们技术的详细步骤，并通过手术模拟后的尸体头部解剖来验证其有效性。
■在这项研究中，共有172例泪槽畸形患者接受了下睑眶缘增大术,同时在骨膜下袋内填充脂肪.根据巴顿的成绩,152例患者接受了下睑眶缘增大伴眼眶脂肪填充，12例患者将其与来自其他身体部位的自体颗粒脂肪结合，8例患者仅接受了经结膜脂肪去除术以纠正泪槽。
■使用改良的Goldberg评分系统比较术前和术后照片。患者对美容效果满意。过度突出的脂肪被释放，并通过自体眼眶脂肪移植使泪沟变平。下睑沟畸形得到良好矫正。为了进一步说明下眼睑区域和注射层的解剖结构，6具尸体头部用于手术模拟,并证明了我们技术的有效性.
■这项研究表明，通过将眼眶脂肪移植到口袋可以增加眶下边缘，在骨膜下解剖，验证了该程序的可靠性和有效性。
■二级。
■本文旨在描述我们技术的详细步骤，并通过手术模拟后的尸体头部解剖来验证其有效性。
■在这项研究中，共有172例泪槽畸形患者接受了下睑眶缘增大术,同时在骨膜下袋内填充脂肪.根据巴顿的成绩,152例患者接受了下睑眶缘增大伴眼眶脂肪填充，12例患者将其与来自其他身体部位的自体颗粒脂肪结合，8例患者仅接受了经结膜脂肪去除术以纠正泪槽。
■使用改良的Goldberg评分系统比较术前和术后照片。患者对美容效果满意。过度突出的脂肪被释放，并通过自体眼眶脂肪移植使泪沟变平。下睑沟畸形得到良好矫正。为了进一步说明下眼睑区域和注射层的解剖结构，6具尸体头部用于手术模拟,并证明了我们技术的有效性.
■这项研究表明，通过将眼眶脂肪移植到口袋可以增加眶下边缘，在骨膜下解剖，验证了该程序的可靠性和有效性。
■二级。
