摘要
目的探讨改良额肌筋膜瓣悬吊术矫治重度上睑下垂的临床疗效。设计回顾性病例系列。研究对象56例(101眼)重度上睑下垂患者。方法采用改良额肌筋膜瓣悬吊术,即单一重睑切口,先行分离额肌筋膜瓣后间隙,在直视下分离额肌筋膜瓣前间隙,不剪断额肌筋膜瓣内外角的方法进行矫治。主要指标术后第一眼位上睑睑缘位置变化。结果随访观察8～20个月,平均13.6个月。所有患者均获得满意疗效,术后反应较轻。术后并发症包括欠矫6例(10眼),过矫3例(6眼),内翻倒睫2例(2眼)。结论改良额肌瓣悬吊术治疗重度上睑下垂疗效满意,安全可靠。
Objective To explore the clinical effect of modified frontalis muscle suspension for severe blepharoptosis correction. Design Retrospective case series. Participants Fifty-six cases （101 eyes） with severe blepharoptosis. Methods Modified frontalis muscle suspension was adopted. The technique included single blepharoplasty-type incision, dissecting the posterior gaps of frontalis muscular fasciae ahead,then euthyphoria isolating anterior gaps of rontalis muscular fasciae, using frontalis muscle transfer without vertical incision. Main Outcome Measure The positon chang of the upper eyelid in the primary position gaze. Results The follow-up period ranged from 8 to 20 months （mean, 13.6 months）. All the patients were deemed to have a good surgical outcome. Complications such as ectropion and corneal exposure were avoided. But ten eyes required reoperation for undercorrection, six eyes for overcorrection and two eyes for entropion. Conclusion This surgical technique is a useful procedure that results in substantial cosmetic and functional improvement with few complications.
出处
《眼科》
CAS
2008年第6期382-386,共5页
Ophthalmology in China
基金
上海市科委重点课题资助项目(04JC14041)
上海市重点学科建设资助项目(S30205)
