上下眼睑同时退缩（突眼症）整复术

Blepharoplasty for both upper and lower eyelid retraction （exophthalmos）

目的探讨上下眼睑同时退缩畸形简单高效整形方法的可行性和疗效。方法通过下睑睫毛延长切口，松解、切断下睑缩肌，并将外眦韧带、外侧眶隔向外及下睑眼轮匝肌向外上侧紧缩，上睑眼轮匝肌向外下牵拉、固定，增加使睑裂宽度缩小的肌筋膜系统的张力及闭目的动力，以矫正上下眼睑同时退缩的外观畸形。结果本组7例患者，术后每只眼睑裂宽度平均缩小3．6mm，随访3-25个月，无复发，效果均满意。结论本手术操作简单，创伤小，疗效可靠，术后肿胀轻、恢复快，值得临床推广。

Objective To explore the feasibility and curative effect of blepharoplasty for the treatment of oth upper and lower eyelid retraction. Methods Incision was performed from the extended line of lower palpebral margin, then lower lid retractor was partly dissected and released to retract the lateral tarsal ligaments, lat- eral orbitofrontal every fat and inferior orbicularis oculi muscle for the lateral direction, and to pull the superior orbicularis oculi muscle for the lower direction. Therefore, the tension of myofascial system for constricting palpebral fissure and the force for eyes close were enhanced to repair the deformity of exophthalmos. Results All 7 eases received satisfactory results with palpebral fissure contraction as 3.6 mm averagely after 3 to 25 months followup without recurrence. Conclusion It is an optimal surgical method with such advantages as easy performing, reliable effect, slight swell and fast recovery. It is worth spreading in clinic.