额肌瓣悬吊术中额肌瓣成形的改进

The improvement in the forming of frontal muscle flap in frontal muscle suspension

额肌瓣悬吊术治疗上睑下垂已在临床应用多年。作者于１９９５年，在原基础上进行了改进。方法：切开皮肤、皮下及眼轮匝肌，向上直接分离额肌瓣深层，然后再于眉下进入浅层分离。本法可以减少切口上缘至眉下的浅层分离，组织损伤小，出血少，减轻术后并发兔眼的程度，缩短了手术操作时间。用该法治疗的２６例中、重度上睑下垂患者，疗效良好。

For many years “frontal muscle suspension” was used to treat patients with blepharoptosis. Based on that, our hospital improved the way of this operation in 1995. At first, the skin, hypodermis and orbicular muscle of eye were cut in succession. Then the deep parts of the frontal muscle flap were dissected, followed by superficial dissection of its lower part under the eyebrow. The operating time, bleeding and tissue trauma were all reduced. The postoperative complication “rabbit eye” was avoided to the tmost. There were 26 patients treated by this team. By the new operating way, they were treated well, and the operation become easier than before. 