DOI: 10.11648/j.js.20241201.11 ISSN:

Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents

En-Jing Wang, Bin Xu
  • General Medicine
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Medicine
  • Ocean Engineering
  • General Medicine
  • General Medicine
  • General Medicine
  • General Medicine
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Medicine
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Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbital septum, the fat in the orbital septum was released, the blood vessels on the inside of the root of the fat mass were preserved, and the fat was sharply separated from the outside to the inside. The mass is trimmed into a strip-shaped pedunculated fat flap. A small lateral incision is made along the lateral side to separate the medial fat mass in the orbital septum. The separated fat flap is refilled into the orbital septum from the lateral incision and pulled to the medial side for fixation. Results: 33 patients were followed up for 3 to 12 months after surgery. Except for 1 patient with severe upper eyelid skin laxity who underwent surgical repair, the rest of the patients' upper eyelid depression was effectively relieved and the upper eyelids looked natural. The patients were satisfied with the surgical results. Conclusion: The intra-orbital septum transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap is a simple and effective surgical method for the treatment of upper eyelid depression, with less pain and quick recovery. It is worth recommending in the treatment of upper eyelid depression.

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