额肌瓣悬吊术治疗重度上睑下垂的术式改进

The improved frontal muscle fascia flap suspension in treatment of severe ptosis

目的:评价改进额肌筋膜瓣悬吊术治疗先天性重度上睑下垂术式的可行性及其效果。方法:20例先天性重度上睑下垂患者,采用美容的重睑切口入路,将额肌瓣向下拉至睑板上1/3部位,缝合固定于眼睑板前上方。结果:本组20例患者,术后随访3-36个月,上睑下垂均得到矫正,睁眼、闭眼功能恢复良好,眼睑、眉外形和位置均无异常,重睑弧度和形态自然,效果满意。结论:采用改进的重睑切口行额肌瓣悬吊治疗先天性重度上睑下垂,具有操作简单,疗效确切,术式隐蔽,无瘢痕等优点。

Objective To evaluate the feasibility and effect in patient with congenital severe ptosis using frontalis aponeurosis flap suspension improved. Methods 20 patients with congenital severe ptosis,the beauty of heavy eyelid incision approach,the frontal muscle flap down to the meibomian 1/3 position,suture and fixation foreupward eyelid board. Results This group of 20 patients were followed up for 3 to 36 months postoperatively,ptosis were corrected, everywhere function recovered well, eyelid and eyebrow shape and position of all no abnormalities, natural heavy eyelid radian and form, the results was satisfactory. Conclusions With the improved double eyelid incision line of frontal muscle flap suspension treatment for congenital severe ptosis, has the advantages of simple operation,exact curative effect,operation hidden, no scar,etc.