Labandter H P
Herzlia Medical Center, Herzlia Pituach, Israel.
Plast Reconstr Surg. 1995 Aug;96(2):346-53. doi: 10.1097/00006534-199508000-00013.
There are several groups of patients seeking lower lid blepharoplasty who present with the potential for unsatisfactory postoperative results, such as those presenting with atonic eyelids, patients with severe blepharochalasis alone or with large fat bags, patients with festoons, those with abnormal anatomy, and patients with deformity due to prior surgery. The orbicularis muscle flap technique provides good results in patients with potentially problematic lower eyelids. Of 600 blepharoplasties, 8.5 percent underwent the orbicularis muscle flap procedure. Follow-up time was 1.3 years, and average patient age was 54 years. Details of this technique are described together with results, including illustrative photographs. Of 51 patients, 49 had excellent or acceptable results and 2 had unacceptable results, 1 of whom required a small correction. This method produces a "minilift" of the lower eyelid and upper cheek skin that cannot be achieved with the standard lower eyelid blepharoplasty as described to date.
有几组寻求下睑成形术的患者，术后可能出现不理想的结果，比如眼睑无力的患者、单纯严重眼睑皮肤松弛或伴有大脂肪袋的患者、有睑袋的患者、解剖结构异常的患者以及既往手术导致畸形的患者。眼轮匝肌瓣技术在可能存在问题的下眼睑患者中取得了良好效果。在600例睑成形术中，8.5%的患者接受了眼轮匝肌瓣手术。随访时间为1.3年，患者平均年龄为54岁。现将该技术的细节与结果一同描述，包括示例照片。在51例患者中，49例取得了优异或可接受的结果，2例结果不可接受，其中1例需要进行小的矫正。这种方法能使下眼睑和上脸颊皮肤产生一种“微型提升”效果，这是迄今为止所描述的标准下睑成形术无法实现的。
