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在甲状腺眼部疾病中,通过额下切口减少retro-orbicularis oculi脂肪

Muhammad Abumanhal¹, Chrisha Faye Habaluyas¹, Yasuhiro Takahashi¹

¹Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

|October 2, 2025

概括

在甲状腺眼病 (TED) 中,逆眼皮脂肪 (ROOF) 缩导致上眼充满. 通过眉下切口切割的ROOF切割有效地改善了美容结果,患者满意度高,并发症率低.

科学领域:

眼科医生眼科眼科
整形外科整形外科整形外科
内分泌学在内分泌学.

背景情况:

逆眼皮脂肪 (ROOF) 缩是甲状腺眼病 (TED) 患者上眼充满的关键因素.
解决这种过度缩对于改善TED患者的审美外观和功能结果至关重要.

研究的目的:

描述使用眉下切口减少ROOF的手术技术.
在TED患者中评估这个ROOF切除手术的审美和临床结果.

主要方法:

一项回顾性观察性研究,涉及60名患者 (118个眼) 通过眉下切口进行ROOF切除.
收集的数据包括ROOF厚度,切除的脂肪体积,边缘反射距离-1 (MRD-1) 和术后并发症.
在3个月的随访期间,评估了患者的满意度.

主要成果:

截除的ROOF的平均体积为0.69 ± 0.51毫升,ROOF厚度与截除体积之间存在中等相关性 (r = 0.395,p < 0.001).
边际反射距离-1 (MRD-1) 在术后没有显著变化 (p = 0.626).
达到了93.3%的高患者满意度,没有报告任何重大并发症.

结论:

通过眉下切口切割的ROOF切割是改善TED患者上眼满度的安全有效的外科辅助方法.
这种技术提供了显著的美学益处,并发症的风险较低.
对于TED患者来说,这是一个可行的选择,他们经历了突出的上眼丰满.

关键词:

眼的丰满度眼的丰满度背面的眼球的脂肪.在眉毛下切口.甲状腺眼睛疾病甲状腺眼病

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