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上睑下垂是一种常见的眼睑畸形,以先天性多见;治疗方法很多,但对于重症者疗效尚不满意。我们于1984年3月至1988年3月应用眉区额肌筋膜瓣下移治疗重症上睑下垂取得满意疗效。对象和方法本组共17例25眼。其中男性14例21眼,女性3例4眼,进行性眼外肌麻痹1例2眼,外伤性上睑下垂1例1眼,先天性上睑下垂15例22只眼。年龄最小8岁,最大60岁。术前睑裂都小于3mm,以阻断额肌的方法测得提上睑肌活动度均在2mm以下,除进行性眼外肌麻痹外余患眼上直肌功能良好。
Ptosis is a common eyelid deformity, more common to congenital; a lot of treatment, but for those with severe symptoms are not satisfied. We in March 1984 to March 1988 application of eyebrow area myofascial flap down for severe ptosis achieved satisfactory results. Objects and methods in this group a total of 17 cases 25 eyes. There were 14 males in 21 eyes, 3 females in 4 eyes, progressive extraocular muscle paralysis in 1 case, 2 eyes, traumatic ptosis in 1 case and congenital ptosis in 15 eyes in 22 eyes. Youngest 8 years old, maximum 60 years old. Preoperative palpebral fissure is less than 3mm, in order to block the frontal muscle method to measure levator muscle activity are below 2mm, in addition to progressive external ophthalmoplegia, the rest of the affected eye rectus function well.