Furnas D W
Plast Reconstr Surg. 1978 Apr;61(4):540-6. doi: 10.1097/00006534-197804000-00007.
Occasionally, baggy eyelids are caused by a laxity of the orbicularis oculi muscle. The extent of these orbicularis festoons is evaluated by a careful examination--including the "squinch" and the "pinch" tests. We excise such festoons of excess muscle and then support the orbicularis oculi of the lower lid by using periosteal and muscular sutures. (Orbicularis plication is an alternate procedure for the lower lid). Any muscle festoons of the upper lid are simply excised.
偶尔，眼睑松弛是由眼轮匝肌松弛引起的。通过仔细检查来评估这些眼轮匝肌皱襞的程度，包括“眯眼”和“捏起”测试。我们切除多余肌肉的这些皱襞，然后使用骨膜和肌肉缝线来支撑下睑的眼轮匝肌。（眼轮匝肌折叠术是下睑的另一种手术方法）。上睑的任何肌肉皱襞都直接切除。
