眼轮匝肌下脂肪垫的解剖学及整形外科学的研究

目的：研究眼轮匝肌下脂肪垫的解剖结构，和相邻组织结构的关系，评价其在眼部年轻化手术中的应用效果。方法：对成人头颅部人体标本7具（14侧眼部标本）进行眶部解剖研究；对50例术前有明显面部老化征象患者进行了眼部手术，手术中将眼轮匝肌下脂肪垫部分去除。结果：在眼轮匝肌下和上颌骨、颧骨骨膜的浅面，存在有脂肪垫，其大部分分布在眼眶外围，并与周围脂肪垫相连续。50例眼袋患者，术后下睑区平展，眶隔脂肪袋消失，下眶缘沟消失，眶下外侧骨缘轮廓平和。其中19例伴有上睑臃肿下垂患者，术后眼裂增宽，眼睑变薄，无上睑外侧臃肿表现。结论：眼部年轻化手术适当去除眼轮匝肌下脂肪垫，可明显改善手术效果。

Study on the anatomy and plastic surgery of suborbicularis oculi fat pad

Objective To study the suborbicularis oculi fat pad anatomy, and the adjacent tissue structure of the relationship, in the evaluation of its eye younger operation. Methods On the skulls of adult human specimens from 7 cadavers （14 sides eye specimens） of orbital anatomy study; 50 patients had obvious signs of facial aging before the patients were eye operation, operation will oculi fat pad component removal. Results The orbicularis oculi muscle and maxillary, zygomatic periosteum on the superficial surface, there is a fat pad, most of its distribution in orbital peripheral, and the peripheral fat pad phase continuous.In 50 cases patients with postoperative lower eyelid blepharoplasty, area spreading, orbital fat bag away, lower orbital margin channel disappears, the orbital bone and lateral edge contour. Among the 19 patients with upper eyelid and ptosis patients, postoperative eye fissure width, eyelid thinning, supreme lateral palpebral fat performance. Conclusion The eye younger operation appropriately removing oculi fat pad, can significantly improve the operation effect.