Lupo Flavia, Ioppolo Leonardo, Pino Davide, Meduri Aessandro, d'Alcontres Francesco Stagno, R Colonna Michele, Delia Gabriele
Ann Ital Chir. 2016;87:466-469.
Cicatricial ectropion is secondary to an excessive scar contraction after trauma, burns, skin conditions, scarring skin tumours, medication, allergies, blepharoplasty complications 1,2. The estimates for ectropion incidence following removal of eyelid lesions have been reported as varying from 2.5% to 7% 3. A variety of surgical techniques can be applied to achieve the correct shape and position of lower lid 4-7. Fat grafts in association with other technique are commonly used in orbital reconstruction in a variety of procedures 8 including of the correction of cicatricial ectropion 9,10.
The Authors propose the use of fat graft as only procedure for the correction of cicatricial lower eyelid ectropion. Two male patients with cicatricial ectropion were treated with this technique in two time and followed for 12 months.
Lipofilling for cicatricial eyelid ectropion give excellent outcomes, with release of the scar without recurrence, 11.
Autologous fat grafting has many clinical applications, and its use in Plastic Surgery is increasing: The key point is the presence into fat of Adipose stem cells (ASCs), that have been identified as an ideal source of cells for regenerative medicine, with potential and rapid improvement of healing process and complete recovery of tissue integrity after surgery to confirm the regenerative effect of fat graft.
Lipografting can be considered a safe and effective alternative procedure 12,13.
Defect of lower lid, Ectropion, Lipograft.
瘢痕性睑外翻继发于创伤、烧伤、皮肤疾病、瘢痕性皮肤肿瘤、药物、过敏、眼睑成形术并发症等后的过度瘢痕收缩[1,2]。据报道，眼睑病变切除后睑外翻的发生率估计在2.5%至7%之间[3]。可应用多种手术技术来实现下睑的正确形状和位置[4-7]。脂肪移植与其他技术联合常用于各种眼眶重建手术[8]，包括瘢痕性睑外翻的矫正[9,10]。
作者提出将脂肪移植作为矫正瘢痕性下睑外翻的唯一手术方法。两名患有瘢痕性睑外翻的男性患者分两次接受了该技术治疗，并随访了12个月。
脂肪填充治疗瘢痕性睑外翻效果极佳，瘢痕松解且无复发[11]。
自体脂肪移植有许多临床应用，其在整形手术中的应用正在增加：关键在于脂肪中存在脂肪干细胞（ASC），脂肪干细胞已被确定为再生医学的理想细胞来源，具有潜在且能快速改善愈合过程以及术后组织完整性完全恢复的能力，从而证实脂肪移植的再生效果。
脂肪移植可被视为一种安全有效的替代手术方法[12,13]。
下睑缺损；睑外翻；脂肪移植
