吴乐昊 张畅 周栩 王佳琦

    [摘要]目的：介绍一种在经皮肤入路下睑袋切除术中，可安全切除多余皮肤的手术方法。方法：在常规进行下睑袋切除后，将下睑皮瓣向上提拉，在外眦转折点处垂直剪开皮瓣至去皮量，形成内、外两个三角皮瓣，将剪开的分叉处固定至外眦处眶骨深层至骨膜。向上提拉皮瓣，首先去除外侧三角形皮肤瓣，然后由外向内以三角形为单位分次切除内侧多余皮肤，逐步修剪至与切口上缘对合平齐。结果：本组100例患者术后下睑袋矫正效果明显，均未出现下睑外翻情况。患者眶周老化特征改善显著，外形自然，瘢痕不明显。结论：“多三角瓣”去皮法在下睑袋切除术中具有安全、有效、可行性好等优点。

    [关键词]下睑袋;下睑成形术;下睑外翻;并发症;皮瓣;眼轮匝肌

    [中图分类号]R622? ? [文献标志码]A? ? [文章編号]1008-6455(2021)10-0059-03

    The Application of “Continuous Small Triangle” Flap Excision in Lower Eyelid Blepharoplasty

    WU Le-hao，ZHANG Chang，ZHOU Xu，WANG Jia-qi

    (Department of Cervicofacial Plastic and Reconstructive Surgery，Plastic Surgery Hospital，Peking Union Medical College，Chinese Academy of Medical Sciences，Beijing 100144，China)

    Abstract： Objective? To introduce a safe method of removing redundant skin in transcutaneous lower eyelid blepharoplasty. Methods? After removal of the prominent orbital septal fat ......