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目的预防睑袋整复术后出现下睑凹陷和巩膜过多显露等并发症。方法术中沿眶下缘松解眶隔,释放出眶脂肪,将其充填眶下缘凹陷,并设计下险眼轮匝肌瓣,用以缩紧悬吊松弛下垂的下睑肌肉与皮肤。结果从1996年9月至1997年5月,共以此法整复睑袋畸形30例。26例得到3～8个月随访,除1例因一侧眼轮匝肌瓣固定不牢致下睑轻度外翻外,其余均获满意效果。结论此法既可有效地矫正睑袋畸形,又可避免术后出现下睑凹陷和巩膜过多显露状况,同时具有颊提升效果,可使全中面部变得年轻化。
Objective To prevent the complications of lower eyelid depression and excessive scleral exposure after blepharoptosis. Methods During operation, the orbital septum was released along the inferior orbital rim, and the orbital fat was released. The inferior orbital fat was inflated, and the inferior orbital muscle flap and the skin of the lower eyelid were dilatory suspended. Results from September 1996 to May 1997, a total of 30 cases of eyelid pocket deformity. Twenty-six patients were followed up for 3 to 8 months. Except for 1 case, the result of one case was that the orbicularis oculi muscle flap was not firmly fixed and the lower eyelid was slightly valgus. Conclusion This method not only can effectively correct the eyelid pocket deformity, but also can prevent the postoperative lower eyelid depression and scleral excessive appearance, with the effect of cheeks lift, can make the whole face become younger.