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额肌瓣悬吊术治疗单侧重度上睑下垂
赵辉,朱吉,吕川,王宇翀,范勇杰,孙梦妍,武铠,邢新,薛春雨*
0
(第二军医大学长海医院整形外科, 上海 200433
*通信作者)
摘要:
目的 探讨额肌瓣悬吊术治疗单侧重度上睑下垂的临床效果。方法 对23例单侧重度上睑下垂患者行额肌瓣悬吊术治疗,包括男性9例、女性14例,左侧12例、右侧11例。结果 23例患者中,疗效满意19例 (82.61%),效果良好4例 (17.39%),手术失败0例。术后获随访6个月以上,23例患者上睑功能恢复良好,活动自如,双侧睑裂宽度适中、对称,均未出现并发症。结论 额肌瓣悬吊术是治疗单侧重度上睑下垂安全且有效的方法,具有矫正畸形、恢复眼睑功能、改善外观及并发症少的特点,值得临床推广。
关键词:  眼睑下垂  额肌  悬吊术
DOI:10.3724/SP.J.1008.2015.00335
投稿时间:2014-05-01修订日期:2014-12-24
基金项目:
Application of frontal muscular flap suspension surgery in treatment of unilateral severe blepharoptosis
ZHAO Hui,ZHU Ji,LÜ Chuan,WANG Yu-chong,FAN Yong-jie,SUN Meng-yan,WU Kai,XING Xin,XUE Chun-yu*
(Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To observe the clinical effects of frontal muscular flap suspension surgery in the treatment of unilateral severe blepharoptosis. Methods Totally 23 patients with unilateral severe blepharoptosis received frontal muscular flap suspension surgery, including 9 males and 14 females, with 12 in the left side and 11 in the right side. Results Nineteen patients (82.61%) were corrected satisfactorily and 4 (17.39%) were corrected basically, with no failure cases. During a follow-up of 6 months, the eyelids restored to the normal positions in all the 23 cases, with good facial function, flexible movement, and appropriate, symmetrical palpebral fissure, and with no complications. Conclusion Frontal muscular flap suspension surgery is a safe, effective operation for unilateral severe blepharoptosis; it can correct the deformity, restore the eyelid function, improve the cosmetic appearance and has less complications.
Key words:  blepharoptosis  frontalis  suspension surgery