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目的探讨一种矫治重度上睑下垂的美容有效方法。方法术中制作一蒂在眶隔筋膜与提上睑肌结合部之上的眶隔筋膜瓣,在眉区分离额肌筋膜瓣,将额肌筋膜瓣插入眶隔筋膜与提上睑肌之间,三瓣重叠牢固缝合,悬吊上睑矫正上睑下垂。结果采用此法对12例12侧重度上睑下垂进行治疗,随访6~18个月,平均1年,其中,10只眼睛满意,1只好转,1只眼睛上睑外侧偏低重新修复后正常。结论利用眶隔筋膜、额肌、提上睑肌腱膜三瓣吻合术矫正重度上睑下垂,上睑悬吊牢靠,眼部上提接近生理,睑缘弧度自然,达到美容治疗双重功效,是一种可以推广的美容方法。
Objective To explore a cosmetic effective method for correcting severe ptosis. Methods A pedicled orbital septal fascia flap pedicled with the orbital septum fascia and the levator muscular plexus was made intraoperatively. The frontal fascia flap was separated from the eyebrow area, Between the levator muscle, three overlapping solid suture, suspension of the upper eyelid correction ptosis. Results Twelve patients (12 eyes) with severe blepharoptosis were treated by this method. The patients were followed up for 6-18 months with an average of 1 year. Among them, 10 eyes were satisfactory and 1 was improved. . Conclusions The use of orbital septum fascia, frontal muscle, levator aponeurosis three anastomosis correction of severe ptosis, upper eyelid suspension firmly, the eye close to the physical, eyelid arc natural, to achieve the dual effect of cosmetic treatment, is A beauty method that can be promoted.