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面神经瘫痪将导致受其支配的眼轮匝肌麻痹,而使该肌所司闭眼功能丧失,但该肌的拮抗肌提上睑肌和米勒氏肌的功能存在并相对亢进,因而造成患者睁眼时睑裂过大畸形、闭眼时兔眼畸形。作者在局麻下由结膜入路,距睑板上缘2mm处切断睑板上缘中部的提上睑肌和米勒氏肌,直至术中睁睑时双侧睑裂宽度大致相同为止。术后患者睁眼时双侧睑裂宽度大致相同,闭眼时兔眼畸形也有所改善,疗效满意。
Paralysis of the facial nerve will result in paralysis of the orbicularis oculi muscle at its disposal and loss of closed-eye function in the muscle, but the muscle function of the levator muscle and the Miller’s muscle is present and relatively hypertrophic, causing the patient to open Eye palpebral fissures too large deformity, closed eyes when the rabbit eye deformity. The authors under the local anesthesia by the conjunctiva approach, from the upper edge of the tarsus 2mm at the upper edge of the lower edge of the tarsal and Miller’s muscle, until the eyelid surgery when the width of bilateral palpebral fissures roughly the same date. Patients with open eyes when the width of bilateral palpebral fissures roughly the same, closed eyes when the rabbit eye deformity has also been improved, the effect is satisfactory.