De Groot V, De Wilde F, Smet L, Tassignon M J
Department of Ophthalmology, University Hospital Antwerp, Edegem, Belgium.
Ophthalmic Plast Reconstr Surg. 2000 Jan;16(1):34-8. doi: 10.1097/00002341-200001000-00006.
Essential blepharospasm can be associated with apraxia of eyelid opening and is characterized by the inability to initiate the act of eyelid elevation even after cessation of orbicularis spasms. Current therapies such as botulinum toxin injections, orbicularis resection, or neurectomy may be unsuccessful or have undesired side effects.
Frontalis suspension was used to treat 13 consecutive patients with apraxia and blepharospasm during a 4-year interval. Follow-up ranged from 16 months to 55 months. To improve the aesthetic outcome, an upper blepharoplasty was done at the same time as the frontalis suspension in 7 cases.
Good or excellent functional results were obtained in 10 of 13 patients. In 6 of these patients, the spasm disappeared completely. Therapy was unsuccessful in 1 patient, and in 2 patients blepharospasm recurred after 9 months.
Patients with blepharospasm and apraxia of eyelid opening may benefit from a frontalis suspension operation, which can be considered minimally invasive and reversible.
原发性睑痉挛可伴有眼睑开合失用症，其特征是即使眼轮匝肌痉挛停止后仍无法启动眼睑抬起动作。目前的治疗方法，如肉毒杆菌毒素注射、眼轮匝肌切除术或神经切除术，可能并不成功或有不良副作用。
在4年期间，采用额肌悬吊术连续治疗13例眼睑开合失用症和睑痉挛患者。随访时间为16个月至55个月。为改善美学效果，7例患者在进行额肌悬吊术的同时进行了上睑成形术。
13例患者中有10例获得了良好或优异的功能效果。其中6例患者的痉挛完全消失。1例患者治疗失败，2例患者在9个月后睑痉挛复发。
伴有眼睑开合失用症的睑痉挛患者可能从额肌悬吊手术中获益，该手术可被视为微创且可逆的。
Zotero 插件