260例眼袋术中观测及整复方法的探讨

Observation of Anatomic Structures in Blepharoplasty and Exposition of Blepharoplaslic Methods in 260 cases Sufferring from Baggy Eyelids

目的:针对不同类型眼袋,探讨相应的手术方法。方法:回顾性分析1995年1月～2002年7月手术治疗的160例眼袋患者临床资料,将国人眼袋分为3种类型。术中不仅去除部分眼轮匝肌、眶隔脂肪、皮肤,而巨对眼轮匝肌、眶隔筋膜等作了实体观测。结果:Ⅰ、Ⅲ型眼袋者,眼轮匝肌较窄,厚度增加;Ⅱ型眼袋者,眼轮匝肌较宽、薄。眶隔筋膜于中央区最薄弱,但未见“眶肌筋膜韧带”。260例眼袋整形均获得了满意的结果。结论:根据眼袋类型,辨析其解剖学成因。去除眼轮匝肌、眶膈脂肪、收紧眶区皮肤是眼袋整形的基础。

Objectiv: Observative results and blepharoplastie methods are reported in 260 cases sufferring from baggy eyelids from January 1995 to July 2002. Methods: Buggy eyelids deformity can be defined into three types in the Chinese according to Cas-tanares' s classification in baggy eyelid. We observed the anatomy of orbicularis ocnli muscle and septum orbitale fascia in the operative procedure. Partial orbicularis oculi muscle,orbital fat and loose skin were excised. Results:The anatomy showd that the orbic-ularis oculi muscle was narrower and thicker in lypes I and III, and broader and thiner in type II .Septum orbitale fascia in the centre area was the weakest,but the fascia ligament of orbital musele was not found.This series of 260 eases all got satisfactory results. Conclusion: It is essential that in the case of baggy eyelids deformity for blepharoplasty partial orbicularis oculi muscle, partial orbilal fat and loose skin in lower eyelid be excised respectively according to the type of baggy eyelid.