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目的探讨幼儿先天性上睑下垂的最佳手术时机及术式。方法对13例17(眼)1～3岁先天性重度上睑下垂行L形额肌瓣悬吊术的临床资料进行分析。结果术后15眼矫正满意,2眼矫正良好,术后均有程度不等的睑裂闭合不全;随访11例(14)眼,矫正满意12只眼,矫正良好2只眼。均无并发症发生。结论幼儿重度先天性上睑下垂,只要身体状况良好,1岁以上后即可手术;L形额肌瓣悬吊术效果最佳。
Objective To investigate the optimal timing and operation of congenital blepharoptosis in children. Methods The clinical data of 13 cases of 17 (ocular) 1-3-year-old congenital severe blepharoptosis L-shaped frontal muscle flap suspension were analyzed. Results After the operation, 15 eyes were corrected satisfactorily and 2 eyes were corrected well. There were varying degrees of palpebral fissure insufficiency postoperatively. Eleven eyes (14 eyes) were corrected, 12 eyes were corrected satisfactorily and 2 eyes were corrected well. No complications occurred. Conclusions Severe congenital ptosis in children may be surgically performed after they are over 1 year old as long as they are in good physical condition. L-shaped frontal muscle flap suspension has the best effect.