老年性上眼睑除皱术

The Senile Upper Blepharoplasty

目的:传统的上眼睑除皱方法为“月牙形”切除部分上眼睑皮肤及眼轮匝肌．外眦部位常矫正不足。为改善此缺陷, 本文介绍“镰刀形”上睑皮肤部分切除术治疗老年性上眼睑老化的手术方法与要点。方法:将传统的上睑切口向外侧延伸超过外眦部位成“镰刀形”,切除部分上眼睑皮肤及眼轮匝肌,将切缘与睑板上缘固定。结果:6年来共治疗上睑松垂276 例,其中行“月牙形”切除35例,“镰刀形”切除232例,因上睑外眦部位切除不足二次矫正9例,效果满意。结论:本法克服了传统的上眼睑除皱方法外眦部位矫正不足的缺点,是一种安全有效的手术方法。

Objective： The typical classic upper blepharoplasty is to excise a crescent-shaped skin which results in a lateral hooding deformity of upper eyelid. The purpose of this study is to introduce a scalpel-shaped excision for senile upper blepharoplasty. Methods： The erescent-shaped excision was extended to the lateral canthus, which was a sealpel-shaped. The scalpelshaped skin was excised. The skin was fixed to upper border of the tarsus. Results： 276 patients was treated in the past 6 years. 35 patients used crescent-shaped excision, 232 patients used scalpel-shaped excision method. Only part of the lateral canthus was excised in 9 patients. All the patients were satisfied with the results. Conclusion： This procedure overcomes the lateral hooding deformity of upper eyelid caused by crescent-shaped skin excision, It is a safe and effective method.