Härtel P
Arabella-Klinik Dr. Bonner, München.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:1115-7.
Ptosiform blepharochalasis is not only an esthetic but also a functional problem for the elderly patient. In clinical terms there is an extension of the lid skin over upper-lid margin, a relaxation of the orbicularis muscle and a large amount of periorbital fat. The operation involves resection of the excess skin by an elliptical excision, shortening of the orbicularis muscle, and resection of the fat pads from two compartments. Postoperatively there is only edema, but no pain, which is important for the elderly.
坠积性睑皮松弛症对老年患者而言不仅是美观问题，也是功能问题。从临床角度来看，睑皮肤延伸至上睑缘上方，眼轮匝肌松弛，眶周脂肪大量堆积。手术包括通过椭圆形切除来切除多余皮肤、缩短眼轮匝肌以及从两个间隙切除脂肪垫。术后仅有水肿，但无疼痛，这对老年人很重要。
