Siegel R
Ann Plast Surg. 1984 Oct;13(4):263-73. doi: 10.1097/00000637-198410000-00001.
There is a network of fascia in the upper eyelid that serves to transmit and distribute the motor power of the levator palpebrae muscle to the superficial tissues. The architecture of this network was studied intraoperatively. The results demonstrate that there is a superficial fascia under the orbicularis muscle which fuses with the levator aponeurosis at the level of the lid fold. Below the fold, these fascia remain fused or "conjoined." Thus, the fold in the upper eyelid reflects the union of fascia occurring internally and dose not result simply from the levator aponeurosis inserting into the skin. This article describes the anatomy and surgical identification of the upper eyelid fascia. I contend that the fascia constitutes an important internal framework for the upper eyelid, shaping the lid fold while elevating the tarsal plate in perfect synchrony. For the surgeon, visualizing the fascial architecture is a great aid in the correction of a variety of difficult eyelid deformities.
上睑存在一个筋膜网络，其作用是将提上睑肌的运动力量传递并分布到浅表组织。术中对该网络的结构进行了研究。结果表明，眼轮匝肌下方存在一层浅表筋膜，它在睑褶水平与提上睑肌腱膜融合。在睑褶下方，这些筋膜保持融合或“相连”状态。因此，上睑的褶皱反映了内部筋膜的结合，并非仅仅是提上睑肌腱膜插入皮肤所致。本文描述了上睑筋膜的解剖结构及手术识别方法。我认为，该筋膜构成了上睑重要的内部框架，在完美同步提升睑板的同时塑造睑褶。对于外科医生而言，了解筋膜结构有助于矫正各种复杂的眼睑畸形。
