Journal Title: تابستان 87 Article title: The Repair of Herniated fat by Capsule Palpebral Fascia to the Peristeum of inferior Orbital Rim
Article PDF File: Page From: 29 To: 35
Article abstract: Introduction & Objective: The traditional treatment of palpebral bags of the lower lid is the resection of excess fat surgically. In 1986 Sachs and Bosniak and in 1986 de la Plaza and Arroyo reported a new technique for the repair of palpebral bags that consisted of pushing back the herniated fat to the orbit and the retaining it by the running sutures of the capsule palpebral fascia (CPF) in the periosteum of inferior orbital rim .
The purpose of this manuscript is to compare this procedure with traditional fat removal bleparoplasty.
Materials & Methods: This report describes a prospective evaluation of 10 female patients who underwent CPF repair for herniated lower lid bags. All patients were evaluated at 6 weeks and 6 month postoperatively.
Results: This manuscript shows that in this technique the rate of pain hemorrhage and hematoma is less than fat removal procedure. In addition, lid fat pads don’t change and only were returned lack into primary lodges. All patients were female between 35-60 years old. CPF is relative dense structure that can protect fat compartments, but is weak in lat compartment. The amount use of analgesic and sedative is less than usual. The difference between our procedure and that of de la plaza group was the use of separate sutures which has advantages.
Conclusions: Our results show that the CPF hernia repair procedure carries less discomfort and pain intraoperatively in comparison with the fat removal technique and may be less prone to bleeding and possible hematoma formation after surgery. In the addition, in comparing the traditional lower blepharoplasty with the fat removal, hallowing of the lower lid or the risk of sunken eye looking of the globe will not occur with the CPF repair technique.
