翻转额肌瓣修复眼睑凹陷伴结膜囊狭窄

The ture-over flap of the frontalis muscle used for eye-socket depression with contraction of the conjunctivai capsule.

我们近几年来采用翻转额肌瓣以治疗眼睑凹陷伴结膜囊狭窄畸形。轻度畸形只需采用翻转额肌肌瓣直接垫入上睑眼轮匝肌下层睑板上缘,结膜囊创面移植粘膜或皮片。重度畸形则需将翻转额肌瓣紧贴眶骨鼻侧壁经隧道移转至结膜囊底部覆盖植入物,肌膜表面移植粘膜或皮片。施术9例。

We were used to repair the eye-socket depression and contraction after eyeball loss with fat,dermis or rib cartilage implantation.This“stuffing method”has some disadvantages,including ab- sorption and exposure of the implant.In recent years the authors have used a turn-over flap of the frontalis muscle to treat eye-socket depression with contraction of the conjunctival capsule.Satisfactory results have been found at postoperative follow-up.