Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province, People's Republic of China.
Department of Ultrasound, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan Province, People's Republic of China.
J Cosmet Dermatol. 2024 Jan;23(1):193-198. doi: 10.1111/jocd.15948. Epub 2023 Aug 3.
To observe the changes of pretarsal fat fascia histological structure after double eyelid blepharoplasty with the orbital septum method.
From December 2019 to February 2022, the patients with congenital single eyelid who underwent double eyelid blepharoplasty with the orbital septum method at the Plastic and cosmetic surgery department of Hunan provincial people's Hospital and the same number of congenital double eyelid volunteers. Then divided into three groups: preoperative eyelid ultrasound images in Group A, postoperative eyelid ultrasound images in Group B, and congenital double eyelid volunteers in Group C. To study the histological differences of pretarsal fat fascia before and after double eyelid blepharoplasty with the orbital septum method and congenital double eyelid by ultrasound.
Ninety-eight patients who underwent double eyelid blepharoplasty with the orbital septum method met the inclusion criteria. All 98 patients aged 22.88 ± 3.00 years, including 7 males and 91 females, followed up for 6-12 months. Included 98 volunteers with congenital double eyelid, aged 23.58 ± 2.59 years, including 49 males and 49 females. Ultrasound showed that the pretarsal fat fascia was divided into two layers. The dense layer adhered closely to the surface of the tarsus with no statistically significant differences. There was a statistically significant difference in the thickness of the pretarsal loose fat fascia layer between Group A and B. The points a b c in Group A were significantly thicker than those in Group B and C, and there was no significant difference between Group B and C. Postoperative evaluation: 83 cases were satisfied, 11 cases were basically satisfied and 4 cases were unsatisfied.
After double eyelid blepharoplasty using orbital septum, the histological structure of pretarsal fat fascia is similar to that of congenital double eyelid, suggesting that double eyelid blepharoplasty with the orbital septum method can change the structure of pretarsal fat fascia and make it similar to congenital double eyelid, which is one of the anatomical bases for its good clinical effect.
观察经眶隔法行重睑术对睑板前脂肪筋膜组织学结构的影响。
选取 2019 年 12 月至 2022 年 2 月湖南省人民医院整形美容外科行经眶隔法重睑术的先天性单睑患者，及同期行重睑术的先天性重睑志愿者各 49 例，分为 A、B、C 三组，A 组为术前眼睑超声图像，B 组为术后眼睑超声图像，C 组为先天性重睑志愿者。研究经眶隔法行重睑术前后及先天性重睑的睑板前脂肪筋膜的组织学差异。
共纳入 98 例行经眶隔法重睑术患者，均符合纳入标准，年龄 22.88±3.00 岁，男 7 例，女 91 例，随访 6～12 个月。同期纳入 98 例先天性重睑志愿者，年龄 23.58±2.59 岁，男 49 例，女 49 例。超声检查示睑板前脂肪筋膜分为两层，致密层与睑板表面紧密贴合，两组间差异无统计学意义。A 组与 B 组间睑板前疏松脂肪筋膜层厚度差异有统计学意义，A 组中 a、b、c 点明显厚于 B 组与 C 组，B 组与 C 组间差异无统计学意义。术后评价：83 例患者满意，11 例基本满意，4 例不满意。
经眶隔法行重睑术后，睑板前脂肪筋膜的组织学结构与先天性重睑相似，提示经眶隔法重睑术可改变睑板前脂肪筋膜的结构，使其与先天性重睑相似，这是其临床效果良好的解剖学基础之一。
