睑部Eisler's囊袋的解剖结构及临床应用

Anatomic Structure and Clinical Application of Eisler's Pocket

目的:研究睑部Eisler's囊袋及其周围组织的解剖结构,为相关下睑部老化的临床治疗提供理论依据。方法:通过对10具(20侧)尸颅的解剖,阐明睑部Eisler's囊袋及其周围组织的解剖结构,结合文献复习,对下睑部眶隔脂肪的疝出及治疗方法提出意见。结果:Eisler's囊袋位于外眦韧带与眶隔之间,是一个重要的腔隙,上睑外侧眶隔脂肪可由该腔隙疝出至下睑。结论:对于眶隔脂肪明显疝出的老年患者,行下睑整复术时,要特别注意Eisler's囊袋的评估和修复,从而取得良好的手术效果。

Objective： The aim of this study is to elucidate the detailed anatomic slructure of the Eisler＇s pocket and nearby structures as are related to the aging of the lower eyelid and lower blepharoplasty..Methods：The location of Eisler＇s pocket and its nearby structures in 10 corpse skulls （20 sides） were observed.With review of literature,the study provides new opinions to the herniation of the postseptal fat and the aging of the lower eyelid.Results：The Eisler＇s pocket is a important space which situated between the orbital septum anteriorly and the lateral canthal tendon posteriorly and nasally.The lateral postseptal fat of upper eyelid has lateral extension to this pocket.Conclusions：While performing operation to the patient with apparent herniation of postseptal fat,we should pay attention to the Eisler＇s pocket and the lateral excrescent fat to gain optimal outcome.