Mühlbauer W, Holm C
Dept. of Plastic Surgery, Klinikum Bogenhausen, Munich, Germany.
Aesthetic Plast Surg. 2000 Nov-Dec;24(6):418-23. doi: 10.1007/s002660010070.
Eyelid bags are the result of relaxation of lid structures like the skin, the orbicularis muscle, and mainly the septum, with subsequent protrusion or pseudo herniation of intraorbital fat contents. The logical treatment of baggy upper and lower eyelids should therefore include repositioning the herniated fat into the orbit and strengthening the attenuated septum in the form of a septorhaphy as a hernia repair. The preservation of orbital fat results in a more youthful appearance. The operative technique of the orbital septorhaphy is demonstrated for the upper and lower eyelid. A prospective series of 60 patients (50 upper and 90 lower blepharoplasties) with a maximum follow-up of 17 months were analyzed. Pleasing results were achieved in 56 patients. A partial recurrence was noted in 3 patients and widening of the palpebral fissure in 1 patient. Orbital septorhaphy for baggy eyelids is a rational, reliable procedure to correct the herniation of orbital fat in the upper and lower eyelids. Tightening of the orbicularis muscle and skin may be added as usual. The procedure is technically simple and without trauma to the orbital contents. The morbidity is minimal, the rate of complications is low, and the results are pleasing and reliable.
眼袋是眼睑结构如皮肤、眼轮匝肌，主要是眶隔松弛的结果，随后眶内脂肪内容物突出或假性疝出。因此，对于上、下眼睑松弛的合理治疗应包括将疝出的脂肪重新定位到眼眶内，并以眶隔缝合术的形式加强变薄的眶隔，作为疝修补术。保留眶脂肪可使外观更显年轻。本文展示了上、下眼睑眶隔缝合术的手术技巧。分析了一组前瞻性研究中的60例患者（50例上睑成形术和90例下睑成形术），最长随访17个月。56例患者取得了满意的效果。3例患者出现部分复发，1例患者睑裂增宽。眶隔缝合术治疗眼睑松弛是一种合理、可靠的手术方法，可纠正上、下眼睑眶脂肪疝出。可按常规增加眼轮匝肌和皮肤的收紧。该手术技术简单，对眶内容物无创伤。发病率极低，并发症发生率低，效果满意且可靠。
