伴泪腺脱垂的上睑皮肤松垂症的手术治疗

目的 探讨上睑皮肤松垂症的病理特征和美容外科治疗方法。方法 按照切开法重睑成形术设计手术切口；将脱垂的泪腺复位于眶外上方的泪腺窝内，然后酌情去除上睑松弛之皮肤和部分眼轮匝肌，以及疝出之眶隔脂肪，并形成满意的重睑形态。结果 自1998～2002年，共治疗23例46只眼，临床症状明显改善或消失，重睑形态满意。结论 对上睑皮肤松垂症应有全面认识，治疗重点是泪腺的复位和眼睑形态的重新塑造；同期行重睑成形术，可实现功能治疗与美容效果的双重目的。

Cosmetic surgical treatment of blepharochalasis with lacrimal glands prolapse

Objective To study the pathologenesis and to evaluate an operative method of blepharochalasis. Methods A double eyelid-fold incision was made. The lacrimal glands were found and repositioned into lacrimal glands fossa behind superolateral orbital rim. Then redundant skin and muscles as well as hernia septal fat were removed. Results Twenty-three patients were successfully treated by the mentioned methods from 1998 to 2002. A good clinical results in both function and appearance were achieved. Conclusion It is convenient and effective to treat blepharochalasis through a double eyelid fold incision.