Tobin H A
Ann Plast Surg. 1985 Jan;14(1):59-63. doi: 10.1097/00000637-198501000-00011.
Traditional teaching on blepharoplasty surgery emphasizes the existence of several discrete fat compartments in the upper and lower lids. Surgical techniques are based upon removal of fat from each of the two or three so-called compartments within the upper or lower lid. Anatomically, there is little basis for assuming the existence of such compartments. They usually represent areas of weakness or dehiscence within the overlying muscle or septum. A technique of blepharoplasty using electrosurgical dissection is described which emphasizes wide incision of the orbital septum with abundant presentation of the entire fat pad. Removal of fat is carried out without clamping and with great assurance that there will be no subsequent bleeding. Since it is not necessary to pull on the fat pads, retraction of open vessels is avoided.
传统的眼睑成形术教学强调上睑和下睑存在几个离散的脂肪间隔。手术技术基于从上睑或下睑内的两三个所谓间隔中分别去除脂肪。从解剖学角度来看，假设存在这些间隔几乎没有依据。它们通常代表覆盖其上的肌肉或隔膜内的薄弱或裂开区域。本文描述了一种使用电外科解剖的眼睑成形术技术，该技术强调广泛切开眶隔膜，充分暴露整个脂肪垫。在不进行钳夹的情况下进行脂肪去除，并确保术后不会出血。由于无需牵拉脂肪垫，避免了开放血管的回缩。
