摘要目的 探讨一种修复重睑术后外形过宽、过假和多重睑的Ⅱ期手术修复的有效方法.方法 2005年3月至2013年12月,利用眶隔及其内脂肪组织,结合脂肪游离移植、眶内填充等,修复过宽、过假和多皱襞重睑继发畸形129例,其中2次修改手术后75例,3次修改手术后43例,4次修改手术后7例,5～7次修改手术后4例.病程6个月至12年.结果 87例(67.4％)效果非常满意;32例(24.8％)满意;7例(5.4％)基本满意;3例(2.3％)不满意.结论 利用眶隔及其眶内脂肪组织,结合脂肪游离移植、眶内填充等修复过宽、过假及多重睑,是一种简单易行、有效的手术方法.

abstractsObjective To investigate the methods of repair of the excessive width,theatrical fold line or multiple eyelid following blepharoplasty.Methods From Mar.2005 to Dec.2013,129 patients received repair because of their excessive width,theatirical fold line or multiple eyelid after blepharoplasty.Among them,75 cases were repaired 2 times,43 cases were repaired 3 times,7 cases were repaired 4 times and 4 cases were repaired 5-7 times before this operation.The case history ranged from 6 months to 12 years.The orbital septum fat flap,orbital free fat graft and orbital filling were utilized.Results The repair results were very satisfactory in 87 cases (67.4 ％),satisfactory in 32 cases (24.8％),basically satisfactory in 7 cases (5.4％) and not satisfactory in 3 cases (2.3％).Conclusions It is a simple and effective approach that orbital septum fat flap,orbital free fat graft and orbital filling are used to repair the excessive width,theatrical fold line and multiple eyelid.