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目的探讨改良额肌筋膜悬瓣吊术治疗重度儿童上睑下垂的手术效果。方法采用额肌筋膜悬瓣吊术即单一重睑切口，台式勾牵拉切口上方皮肤直视下分离额肌筋膜瓣前后间隙，稍修剪内外侧角，使形成足够宽的额肌筋膜瓣，双套环缝合额肌筋膜瓣4针，对应缝于睑板中上1/3处，重睑法缝合皮肤切口。结果随访观察6～24月，平均12.5月；46眼中效果满意40眼，欠矫4眼，过矫1眼，內眦部倒睫1眼。结论改良额肌筋膜悬瓣吊术治疗重度儿童上睑下垂效果满意，完全可靠。“,”Objective To evaluate the effect of modified frontalis muscle-fascial flap suspension in the treatment of severe blepharoptosis. Methods modified frontalis muscle-fascial flap suspension was adopted. The technique include single blepharoplasty-type incision,euthyphoria isolating anterior and posterior gaps of frontalis muscle fasciae,trimming internal and external angles to get frontalis muscle-fascial flap wide enough,suturing frontalis muscle-fascial flap and the upper third of tarsus with 4 double-rings,then suturing the incision of skin as blepharoplasty-type. Results The follow-up periord ranged from 6 to 24 months(mean 12.5 months),Forty eyes had a good surgical outcome ,four eyes were un-dercorrection,one eye was overcorrection,one eye was trichiasis in endocanthion in forty-six eyes. Conclusions The sur-gical technique is a useful procedure that results in substantial cosmetic and function improvement with few complications.