改良式额肌瓣悬吊术治疗先天性上睑下垂的体会

Clinical experience of suspension of frontal aponeurosis in children with congenital ptosis

目的:探讨额肌瓣悬吊术治疗先天性上睑下垂的临床效果和方式方法。方法:采用额肌瓣悬吊术治疗先天性上睑下垂患者34例46眼,对术后效果进行随访观察并对疗效进行回顾性分析。结果:本组病例34例46眼随访3～12mo,上睑下垂全部矫正,均获得良好效果。术后3mo满意率96%,基本满意率100%。结论:额肌瓣悬吊术是治疗提上睑肌肌力<4mm的先天性上睑下垂的有效方法,不仅能恢复上睑功能,同时能够达到美观的效果。

AIM： To explore the operative effect of suspension of frontal aponeurosis in children with congenital ptosis. METHODS： Thirty-four children （46 eyes） with ptosis were treated with suspension of frontal aponeurosis and the operative effect was analyzed retrospectively. RESULTS： The follow-up periods of the patients ranged from 3 months to 12 months. The ptosis was corrected in all children. At 3 months post-operatively, the satisfactory rate was 96% and the basically satisfactory rate was 100%. CONCLUSION ： Suspension of frontal aponeurosis is an ideal method to treat congenital ptosis in children. It can recover the function of the upper lid, and can also achieve a good cosmetic effect.