运用额肌瓣悬吊术重建上睑下垂矫正不佳者的眼部美学单位

Frontal Muscle Flap Suspension in Recreating the Eye Aesthetic Characters in the Patients with Poor Upper Lid Ptosis Correction

目的探讨运用额肌瓣悬吊术重建上睑下垂矫正不佳者眼部美学单位和三维结构的可行性。方法对7例单侧上睑下垂矫正不佳患者,运用额肌瓣悬吊术重建眼部美学单位。术后针对上睑部凹陷、上睑皮纹增多、患侧眉毛代偿性上移、上睑轻度下垂等情况进行随访,并据此评价手术疗效。结果本组患者术后随访3～6个月。6例患者效果明显,1例患者认为手术效果可以接受。手术后无明显并发症。结论运用额肌瓣悬吊术可以有效地恢复上睑下垂矫正不佳患者的眼部美学单位。

Objective To explore the feasibility of the frontal muscle flap suspension in recreating the eye aesthetic characters and the 3 dimensional structure in the patients with poor upper lid ptosis correction.Methods Seven cases of patients with poor upper lid ptosis correction were operated by frontalis muscle flap suspension to recreate the eye aesthetic characters.After operation,the following contents were evaluated: upper eyelid sulcus,crease increase of upper eyelid,compensatory shift of ipsilateral eyebrow and mild drooping of upper eyelid.Results The follow-up period was 3-6 months.Six patients obtained obvious results and one patient thought the result is acceptable.No surgical complications was observed.Conclusion Frontalis muscle suspension technique is available for patients with poor upper lid ptosis correction to restore their ocular aesthetic structure.