颞侧眶缘翻转骨膜瓣矫正小睑裂畸形

Correction of blepharophimosis with a temporal periosteal flap

目的 探索可靠有效的小睑裂治疗术式。方法 采用Blaskovics外眦成形术联合颞侧眶缘骨膜瓣翻转固定于上睑板颞侧缘的联合术式 ,治疗小睑裂 11例 13睑。其中重度 8例 8睑 ,均伴有无眼球或小眼畸形 ,中度 3例 5睑。伴内眦赘皮者 3例 4睑 ,采用Spaeth法矫正。 结果 术后平均观察 10 5个月 ,治愈 10睑 ,显效 2睑 ,改善 1睑 ,无严重并发症发生。结论 颞侧眶缘骨膜瓣支撑 ,不仅能代替睑板起支架作用 ,同时可修复外眦韧带 ,矫正小睑裂效果好。

Objective\ To Provide a dependable and effective method for the treatment of blepharophimpsos.Methods\ In Blaskovics canthoplasty,a periosteum flap raised from the lateral orbit margin was turned over and fixed to the end of superiou tarsur.The operation was performed on 11 patients (13 lids), with blepharophimosis.Of whom 8 patients (8 lids) were serious blepharophimosis associated with cryptophthalmus or hollow socket;3 patients (5 lids) were moderate.The epicanthus in 3 cases (4 lids) was corrected by spaeth′s technique.Results\ The follow up period was 10.5 months in average.10 lids of blepharophimosis were cured;2 were improved significantly and 1 improved.No severe complications were found.Conclusions\ The periosteal flap acts not only as a palpebral supporting tissue but also forms lateral ligament.The corrective effects of this method for blepharophimosis are fairly good.\;