本文用带蒂额肌组织瓣矫治重度上睑下垂16例26只眼,效果满意。手术方法为按重脸设计眼脸皮肤切口,分离眼脸皮肤及皮下组织,制作额肌瓣,缝合固定额肌瓣与睑板。其优点为不用中间物联系,避免间接利用额肌的力量,术中不要切破眶隔膜,缝合固定脸板时注意睑裂宽度,预防眼脸角状畸形、脸缘内翻及外翻。 This article with pedunculated amount of muscle flap treatment of 16 cases of severe ptosis in 26 eyes, with satisfactory results. Surgical methods for the design of the face by heavy face incision skin, eye and face skin and subcutaneous tissue separation, the production of the frontal muscle flap, suture fixed amount of muscle flap and tarsus. The advantages of no intermediary contact to avoid the indirect use of the amount of muscle power, intraoperative do not cut orbital septum, suture fixed face plate pay attention to the width of palpebral fissure, prevent face horns deformity, face varus and valgus.