邢新 欧阳天祥 孙丽 郭恩覃 200433 上海，第二军医大学附属长海医院整形外科 中华整形烧伤外科杂志 1999 0 15 2


    关键词：眶脂肪；眼轮匝肌；睑袋 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 预防睑袋整复术后出现下睑凹陷和巩膜过多显露等并发症。方法 术中沿眶下缘松解眶隔，释放出眶脂肪，将其充填眶下缘凹陷，并设计下睑眼轮匝肌瓣，用以缩紧悬吊松弛下垂的下睑肌肉与皮肤。结果 从1996年9月至1997年5月，共以此法整复睑袋畸形30例。26例得到3～8个月随访，除1例因一侧眼轮匝肌瓣固定不牢致下睑轻度外翻外，其余均获满意效果。结论 此法既可有效地矫正睑袋畸形，又可避免术后出现下睑凹陷和巩膜过多显露状况，同时具有颊提升效果，可使全中面部变得年轻化。

    Orbital fat preservationand orbicularis muscle flap suspension for lower eyelid pouches

XING Xin,OUYANG Tianxing,SUN Li,etal.The Department of Plastic Surgery,Changhai Hospital,The Second Military MedicalUniversity,Shanghai 200433

【 Abstract 】 Objective Thisis to introduce the experience in the treatment of lower eyelid pouches by orbital fatpreservation and orbicularis oculi muscle flap suspension techniques.Methods FromSept.1996 to May 1997,thirty patients with lower eyelid pouches were treated using Hamra’s procedure.During theoperation,the arcus marginalis was incised.The orbital fat was released and advancedbeyond the infraorbital rim and sutured.A lateral- based orbicularis oculi muscle flap was created,and itspedicle was repositioned to the periosteum of the upper lateral orbital rim in asuperiomedial direction.Results A total of 26 patients were available forpostoperative follow- upfor 3 to 8 months (mean 5.6 months).Of them one patient developed unilateral lower eyelidectropion due to flabby reposition of the orbicularis oculi muscle flap.The rest obtainedexcellent consmetic results without complications.Conclusion This newmethod has following advantages:①The lower eyelid pouches and the infraorbital rim show that may becorrected simultaneously;②Sunken eyelids and scleral show that may follow fat removal inconventional lower blepharoplasty can be effectively avoided.③“Cheek lift” and a youthful eyelid- cheek complex contour can be obtained.

     【 Keywords】 Orbitalfat Orbicularis oculi muscle Lower blepharoplasty

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