Ullmann Y, Levi Y, Ben-Izhak O, Har-Shai Y, Peled I J
Partnach Klinik of Plastic Surgery, Garmish-Partenkirchen, Germany.
Plast Reconstr Surg. 1997 Mar;99(3):658-61. doi: 10.1097/00006534-199703000-00007.
The surgical anatomy of the upper eyelid fat in the medial compartment was investigated in 388 patients and in 12 cadavers. We found two individual fat pads comprising this compartment. The difference among the investigated cases was found to be the extent of their separation. In 16.7 percent of the cadavers' eyelids the fat pads were entirely separated, in 45.8 percent they were separated to about half their length, while in 37.5 percent only the tips were separated. Among the patients in whom only the protruded fat was inspected, 59.8 percent of the fat pads were separated, and in the rest, only the tips were isolated. On histologic examination we could always identify two well-circumscribed fat pads, each surrounded by a fibrocollagenous tissue. At the level of their interconnection, a loose fibroareolar tissue was found. In practice, during blepharoplasty, both fat pads should be addressed in order to achieve the expected results.
对388例患者和12具尸体的上睑内侧隔脂肪进行了手术解剖研究。我们发现该隔由两个独立的脂肪垫组成。研究病例之间的差异在于它们的分离程度。在16.7%的尸体眼睑中，脂肪垫完全分离，45.8%的脂肪垫分离至其长度的一半左右，而在37.5%的情况下，只有尖端分离。在仅检查突出脂肪的患者中，59.8%的脂肪垫分离，其余患者中只有尖端分离。组织学检查时，我们总能识别出两个界限清楚的脂肪垫，每个脂肪垫都被纤维胶原组织包围。在它们相互连接的层面，发现了疏松的纤维乳晕组织。在实际的眼睑成形术中，为了达到预期效果，应处理两个脂肪垫。
