Jin Yubo, Lin Xiaoxi, Chen Hui, Hu Xiaojie, Ma Gang, Chang Lei, Qiu Yajing, Yang Xi, Wang Tianyou, Yu Wenxin
Zhonghua Zheng Xing Wai Ke Za Zhi. 2014 Nov;30(6):405-8.
OBJECTIVE To investigate an operative method of combined resection of preseptal fat: and partial retro-orbicularis oculus fat (ROOF) for correction of upper eyelid heaviness, and evaluate the efficacy and safety of the method.
Preseptal fat lies widely under the orbicularis oculi in the upper eyelid, and retro-orbicularis oculus fat (ROOF) lies in the lateral supraorbital area. Combined resection of preseptal fat and partial ROOF was performed in patients selected by examination. The efficacy and safety were evaluated by follow-up study.
From May 2011 to July 2013, 38 selected patients received the treatment with 3 months to 28 months follow up. The heaviness of upper eyelid improved in all cases. One patient developed postoperative hematoma, and another patient had a transient numbness over the lateral upper brow region. 37 patients were satisfied with the result.
Combined resection of preseptal fat and partial ROOF was effective in reducing the heaviness of upper eyelid, without major complications. The operative method should be an important adjunct for selected patients undergoing blepharoplasty.
目的：探讨一种联合切除眶隔前脂肪和部分眼轮匝肌后脂肪（ROOF）以矫正上睑臃肿的手术方法，并评估该方法的疗效和安全性。
眶隔前脂肪广泛位于上睑眼轮匝肌下方，眼轮匝肌后脂肪（ROOF）位于眶上外侧区域。对经检查筛选出的患者进行眶隔前脂肪和部分ROOF联合切除术。通过随访研究评估疗效和安全性。
2011年5月至2013年7月，38例入选患者接受了治疗，随访3个月至28个月。所有病例上睑臃肿均有改善。1例患者术后出现血肿，另1例患者上睑外侧区域出现短暂麻木。37例患者对结果满意。
眶隔前脂肪和部分ROOF联合切除术能有效减轻上睑臃肿，且无严重并发症。该手术方法应为行眼睑成形术的入选患者的重要辅助手段。
