论文部分内容阅读
目的观察应用额肌瓣悬吊术矫正重度上睑下垂的临床效果。方法应用矩形额肌瓣、扇形悬吊于睑板上,来矫正重度上睑下垂20例22只眼,术后对临床效果进行随访观察、分析及评价。结果随访观察6个月,其中早期5只眼轻度睑裂闭合不全;1只眼术后额区有血肿;1只眼上睑近内眦角处有轻度内翻畸形,均经对症处理后好转。术后远期疗效良好,上睑缘遮盖角膜1～2 mm,重睑弧度自然。结论额肌瓣悬吊术矫正重度上睑下垂,具有操作简便、下垂矫正效果理想、美容效果良好等优点。
Objective To observe the clinical effect of frontal muscle flap suspension for the correction of severe blepharoptosis. Methods Rectangular frontal muscle flap was used and suspended on the tarsal wall to correct severe blepharoptosis in 20 eyes and 22 eyes. The clinical effect was observed, analyzed and evaluated after operation. Results The patients were followed up for 6 months, of which 5 had mild palpebral fissure failure in the early stage, 1 had a hematoma in the frontal area, and 1 had mild varus deformity in the proximal eyelid, which were all symptomatic treated After the improvement. Postoperative long-term good effect, the upper eyelid cover the cornea 1 ~ 2 mm, double eyelid curvature of nature. Conclusions Frontal muscle flap suspension is a method to correct severe ptosis. It has many advantages such as simple operation, ideal sag correction effect and good cosmetic effect.