眼轮匝肌的解剖结构和力学方向对上睑形态的影响  

Anatomy construction and mechanics direction of orbicularis oculi effecting superior eyelid morphology

作　　者：张余光[1] 杨群[1] 汪希[1] 章一新[1] 钱云良[1] 

机构地区：[1]上海第二医科大学附属第九人民医院整复外科,上海200011

出　　处：《中国实用美容整形外科杂志》2004年第2期70-72,共3页

摘　　要：目的　通过观察眼轮匝肌对上睑形态的影响 ,设计有针对性的手术方法 ,以达到改善上睑形态的目的。方法　尸体解剖测量眼轮匝肌形态和力学方向。活体测量上睑皱襞距睑缘的距离、平视时上睑缘和上睑皮缘的位置。针对单睑伴内眦赘皮、重睑伴内眦赘皮、上睑皮肤松弛下垂的眼轮匝肌的形态特点 ,手术延长眼轮匝肌下缘 ,加高上睑弧度 ,重塑内眦角。结果　单睑、重睑、内眦赘皮在上睑皱襞距睑缘的距离、平视时上睑缘和上睑皮缘的位置手术前后有明显差异。手术可使眼轮匝肌下缘延长 ,上睑弧度加高 ,明显改善上睑外形。结论　通过对眼轮匝肌的整形重塑其结构 。Objective Researching the relationship of orbicularis oculi and superior eyelid morphology and designning new operation method to improve superior eyelid morphology. Methods Corpses were dissected to gauge the width and thickness of orbicularis oculi. The range of suprapalpebral fold to palpebraledge and the position of eyelid skin edge when orthophoria were measured in vivo. New operation methods were designed to perform blepharoplasty and epicanthoplasty, and to reform orbicularis oculi. Results There is a obvious difference between Orientals and epicanthal fold in width and thickness of orbicularis oculi. The underedge of orbicularis oculi was lengthened and eyelid an arc was augument. Conclusion Reforming the morphology and function of orbicularis oculi can improve the appearance of superior eyelid.

关 键 词：眼轮匝肌 解剖结构 力学方向 上睑形态 手术方法 临床资料 

分 类 号：R622[医药卫生—整形外科]