保留“眼台”的睑袋修复术

Repair of baggy deformity with lower eyelid step reservation

目的探讨保留“眼台”的睑袋修复方法及效果。方法通过睑缘切口，采用皮瓣与肌皮瓣联合的方法适当保留睑板前眼轮匝肌，并对眶隔前眼轮匝肌和眼轮匝肌眶部、眶隔及眶隔脂肪行适当处理，去除适量的皮肤，在保留“眼台”的同时修复睑袋。结果本组58例受术者，术后随访6～24个月，下睑形态良好，外观自然，富有立体感，效果满意。结论保留“眼台”的睑袋修复方法，在解决下睑袋状突出问题的同时，能使下睑外观更自然，更符合美学要求，使眼部更年轻。

Objective To explore the operation method and effect of repairing baggy deformity with low- er eyelid step reservation. Methods The method of skin flap and museulo cutaneous flap with pretarsal orbicularis oeuli reservation was adopted through palpebral margin incision, then the preseptal orbicularis oculi and orbital part, orbital septum and orbital septum fat of orbitalis muscle were treated suitably to remove appropriate amount of skin. The lower eyelid step was reserved and repair of blepharoptosis was performed simultaneously. Results Fifty-eight patients were followed up for 6 - 24 months, and all were satisfied with good shaped eyelid, natural and spatial construe, which more met aesthetic requirements and looked younger. Conclusion The method of repairing baggy deformity with lower eyelid step reservation could not only solve problem of eye bags, which produces a more desirable appearance, but also meet aesthetic requirements and rejuvenative appearance.