额肌上睑SMAS提紧治疗复发性先天性上睑下垂

The frontal muscle and upper eyelid SMAS lifting for surgical treatment of recurred congential ptosis

目的 研究先天性复发性上睑下垂的治疗方法。方法 采用额肌上睑表浅肌肉腱膜系统 (SMAS)提紧治疗复发性上睑下垂 16例患者 ,在上睑缘上 5～ 7mm皮肤切口 ,切取额肌上睑SMAS ,制成形成一个蒂在上方的矩形宽约 2 .5～ 3 .0cmSMAS腱膜瓣 ,用 3 - 0线分内、中、外 3点将SMAS腱膜瓣与睑板中上部做 3针褥式缝合固定。结果 本组 16例患者 ,术后形态功能良好 14例 ,形态功能改善的 2例。其中 1例女性患者 5次手术后复发 ,经本法手术后 ,效果良好。结论 额肌上睑SMAS提紧治疗先天性复发性上睑下垂 ,手术操作简便 ,再造动力功能良好 。

Objective To study the surgical treatment of recurred congential ptosis. We presented our experience in the surgical treatment of 16 recurred patients with frontal muscle and upper eyelid SMAS flap lifting. Methods Frontal muscle and upper eyelid SMAS flap was a rectangle SMAS flap with an upper pedicle which was made through an incision 5～?7mm above the edge of upper eyelid, and three fixations between SMAS aponeurosis flap and tasal were made by 3-0 suture. Results 14 cases got good functional and cosmetic results and two cases were improved. A lady patient who had suffered recurrent congential ptosis after 5 failed procedures also gave a good result. Conclusion The frontal muscle and upper eyelid SMAS lift is a good choice for surgical treatment of recurred congential ptosis. It is a simple and good technique.