提紧法睑袋修复术的改进

Improvment of lower blepharoplasty by Raising tight Method

目的:进一步提高睑袋修复术的效果。方法:采用外切入路,分别行皮肤、肌肉间及肌肉下层分离,解剖出眼轮匝肌下外1/3的眶肌筋膜韧带,适当摘除部分眶隔脂肪或行脂肪眶隔下缘释放,分别去除多余肌肉及皮肤,缝合眶隔筋膜加强眶隔前壁,眶肌筋膜韧带及肌肉瓣向眶外上或外眦韧带悬吊固定,缝合肌肉及皮肤。结果:本组230例除4例出现不同程度的下睑凹陷、下睑退缩外,余大部分随访2月～2年,效果满意,对下睑皱纹的去除及中面部提紧效果明显。结论:针对下睑软组织较松弛的睑袋修复术,采用多层次提紧睑袋修复术可收到最佳手术效果,提高了术后满意度。

Objective To Further improve the effect off lower blepharoplasty. Methods By routine outside incision, firstly dissected the tissue between skin and muscle,the space under muscle,then exposed orbital-musclear fascia ligamert at the one-thirds lower and lateral part of orbiculars oculi muscle. After excising partial orbital septun fat or releasing the fat to orbital rim,we removed the wmecessary muscle and the skin.We sutured the orbital septum fiscia to styengh the frot wall of orbital septum, raising direction or to lateral canthus ligament. Lastly sutured the muscle and the skin. Results After 2 months to 2 years following up,all 230 cases abtained good results in improvement of wrincles and raising of mid-face,except 4 case with low eyelid hollow or retraction, Conclusion For lower eyelid which relaxes in view of lower eyelid organization, using the method of raising tihgt tchnigue may receive satisfactory results both in function and apperance.