Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DONG Yanhui , CAO Zhe ,  LIANG Xiaoqin , CUI Jiulin , WU Jun , XIE Zhiwei , JI Caixia

Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang Shandong, 261042, P.R.China;

Corresponding?author：

LIANG Xiaoqin, Email: liangxq2002@163.com

Keywords：

Swollen upper eyelid; Park double eyelid surgery; retro-orbicularis oculi fat

DOI：

10.7507/1002-1892.201703021

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ObjectiveTo investigate the effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct the swollen upper eyelid.MethodsBetween September 2015 and July 2016, partial resection of the retro-orbicularis oculi fat was performed on 32 cases with bilateral swollen upper eyelids in Park double eyelid surgery. There were 10 males and 22 females with an average age of 25 years (range, 19-32 years). The patients had normal function of the levator muscle, and had no history of double eyelid surgery.ResultsAll the incisions healed by first intention. There was no obvious congestion, swelling, levator muscle dysfunction. All patients were followed up 2-14 months, with an average of 10 months. The double eyelid fold was naturally smooth, without depressed scar; blepharochalasis was obviously improved, and the function of upper eyelid levator muscle was normal. All patients were satisfied with the aesthetic effect.ConclusionPark double eyelid surgery and partial resection of retro-orbicularis oculi fat can effectively improve the aesthetic effect in patients with swollen upper eyelid, and can achieve the perfect function and appearance.

Citation： DONG Yanhui, CAO Zhe, LIANG Xiaoqin, CUI Jiulin, WU Jun, XIE Zhiwei, JI Caixia. Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(8): 996-998. doi: 10.7507/1002-1892.201703021 Copy

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16.	李宇平, 朱家貴. 手術治療瞼松弛癥合并淚腺脫垂 14 例的臨床觀察. 江西醫藥, 2016, 51(8): 837-838.
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1. 淳璞. 上瞼軟組織結構的應用解剖學研究. 大連: 大連醫科大學, 2015.
2. 王麗, 暢葉葉. 眼輪匝肌下脂肪墊的解剖學及整形外科學的研究. 中國美容醫學, 2013, 22(1): 11-13.
3. 仝潤澤. " 水泡眼”的剖析特點及其重瞼術. 實用美容整形外科雜志, 1999, 10(4): 169-171.
4. Jeong S, Lemke BN, Dortzbach RK, et al. The Asian upper eyelid: anatomical study with comparison to the Caucasian eyelid. Arch Ophthalmol, 1999, 117(7): 907-912.
5. Dresner SC. Oriental blepharoplasty: anatomic considerations. Plast Reconstr Surg, 1989, 84(6): 1003-1009.
6. Aiache AE, Ramirez OH. The suborbicularis oculi fat pads: an anatomic and clinical study. Plast Reconstr Surg, 1995, 95(1): 37-42.
7. 楊璐, 孫紅欣, 鄒春艷, 等. 小切口埋線法重瞼術 300 例臨床分析. 中國美容外科雜志, 2013, 24(2): 102-104.
8. 陳繼忠, 劉丹丹, 靳軍華. 改良切開法重瞼成形術 56 例臨床觀察. 中國美容醫學, 2014, 23(22): 1878-1879.
9. 牛常英, 譚慎興, 吳彩風, 等. 改良 Park 法重瞼成形術矯正輕度上瞼下垂的療效觀察. 中國修復重建外科雜志, 2015, 29(9): 1133-1136.
10. 卓丹, 徐東衛, 章祥洲. 小切口 Park 法重瞼術聯合改良 Park-Z 內眥贅皮成形術效果觀察. 中國美容醫學, 2016, 25(11): 55-57.
11. 馬艷, 陸宏. 探討三種術式重瞼術后并發癥及其處理方法. 中國醫療美容, 2016, 6(8): 11-13.
12. 李鑫. 東方人眼瞼的解剖特點. 國外醫學: 眼科學分冊, 1985, (5): 302.
13. 趙海雁, 呂曉霞, 潘學良, 等. 眼輪匝肌下脂肪墊的解剖與臨床研究應用. 中國醫藥指南, 2016, 14(12): 158-159.
14. 王興華. 上瞼老化手術矯正的解剖學與臨床應用研究. 蚌埠: 蚌埠醫學院, 2011.
15. 江華, 劉安堂, 孫美慶, 等. 特殊類型的重瞼成形術. 中華醫學美學美容雜志, 2007, 13(5): 265-269.
16. 李宇平, 朱家貴. 手術治療瞼松弛癥合并淚腺脫垂 14 例的臨床觀察. 江西醫藥, 2016, 51(8): 837-838.
17. 孔宇, 梁申芝, 楊曉珂, 等. 淚腺窩微骨孔固定淚腺治療淚腺脫垂臨床探討. 中國實用眼科雜志, 2013, 31(9): 1175-1177.
18. 于桂琴, 楊德芬, 李雁. 淚腺脫垂手術治療的探討. 國際眼科雜志, 2010, 10(10): 1993-1995.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid

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