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目的 :评价改进的额肌筋膜瓣悬吊术治疗上睑下垂的疗效。方法 :在原额肌筋膜瓣悬吊术治疗上睑下垂的基础上进行改进 ,按重睑术切口切开皮肤、皮下 ,于眼轮匝肌和眶隔之间向上分离至眶上缘 ,横断额肌筋膜止点约 1cm ,先将之与眉皮下浅层分离 ,再自骨膜上掀起眉部额肌及筋膜 ,达眉上 1～ 1.2cm。结果 :用该法治疗 5 4例中、重度上睑下垂患者 ,疗效满意。结论 :本法减少额肌筋膜瓣的分离范围 ,仅用重睑切口即可完成上睑下垂矫正术 ,省去重睑切口上缘眼轮匝肌与浅层皮下的分离 ,操作简单 ,损伤小 ,出血少 ,缩短手术时间 ,改善手术效果
OBJECTIVE: To evaluate the curative effect of the improved frontal fascia flap suspension for ptosis. Methods: The original myometrial flap suspension on the basis of the treatment of ptosis improvement, according to double eyelid incision incision skin, subcutaneous, orbicularis muscle orbital separation up to the supraorbital margin, transverse Myofascial stop the amount of about 1cm, the first with the shallow separation of the eyebrow, and then from the periosteum on the frown forehead muscles and fascia, up to the eyebrow 1 ~ 1.2cm. Results: The treatment of 54 cases of moderate and severe ptosis patients with satisfactory results. Conclusion: This method can reduce the separation range of myofascial flap, and eyelid ptosis can be done by double eyelid incision, eliminating the separation of the orbicularis oculi muscle from the superficial eyelid incision. Small, less bleeding, shorten the operation time, improve the operation effect