Lemke B N, Sires B S, Dortzbach R K
Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, USA.
Ophthalmic Surg Lasers. 1999 Mar;30(3):232-6.
Lateral canthal fixation is widely used. This article sought to determine if a periosteal flap used routinely in conjunction with a tarsal strip provides lasting lateral canthal fixation. This consecutive clinical series from two ambulatory surgery centers followed 79 patients who underwent 141 lateral canthal fixation procedures. Outcome was measured by the position of the lateral canthus. Correct positioning of the lateral canthus was achieved in 78 of 79 patients representing 139 of 141 procedures (98%). The failed case was a patient with floppy eyelid syndrome in whom the sutures tore through the tarsal strips. The tarsal strip-periosteal flap technique is a successful, technically direct method of lateral canthal fixation. It is promoted as an enhancement of the tarsal strip technique, and is especially helpful in patients with prominent eyes.
外眦固定术应用广泛。本文旨在确定常规与睑板条联合使用的骨膜瓣是否能提供持久的外眦固定。这个来自两个门诊手术中心的连续临床系列研究追踪了79例接受141次外眦固定手术的患者。通过外眦位置来衡量手术效果。79例患者中的78例（代表141次手术中的139次，占98%）实现了外眦的正确定位。失败的病例是一名患有眼睑松弛综合征的患者，其缝线穿过了睑板条。睑板条 - 骨膜瓣技术是一种成功的、技术上直接的外眦固定方法。它被推广为睑板条技术的一种改进，对突眼患者尤其有帮助。
