Sharma T K, Willshaw H
1Birmingham Children's Hospital Steelhouse Lane Birmingham B4 6NH, UK.
Eye (Lond). 2003 Aug;17(6):759-61. doi: 10.1038/sj.eye.6700498.
The preferred operation for correction of severe ptosis with minimal levator function is a brow suspension procedure. Owing to the poorly developed fascia lata in young children, and concerns about the side effects of harvesting fascia, we have, for many years, used synthetic Mersilene mesh as our suspending material. We present our experience with this material over the last 10 years. We have undertaken a retrospective analysis of the case notes of all patients undergoing brow suspension surgery, using Mersilene mesh, from 1990 to 1999. Functional and cosmetic success was recorded with respect to long-term stability. Data from 41 patients (71 lids, 30 bilateral and 11 unilateral procedures) were analysed. The minimum follow-up period was 12 months with a mean of 38.4 months (SD 23.3). We found a long-term stability of ptosis correction in 67/71 (94.4%) procedures (38/41 (92.7%) of patients). Parental satisfaction was achieved in 90.1% (64/71) of procedures or in 85.4% patients (35/41). Four lids (5.4%) of three patients (7.4%) required further surgery. Mersilene mesh is a safe and convenient suspensory material for brow suspension in young children, and provides good long-term results with a low complication rate.
对于提上睑肌功能极小的重度上睑下垂矫正，首选手术是额肌悬吊术。由于幼儿阔筋膜发育不良，且担心取筋膜的副作用，多年来我们一直使用合成的涤纶网作为悬吊材料。我们介绍过去10年使用这种材料的经验。我们对1990年至1999年所有使用涤纶网进行额肌悬吊手术患者的病历进行了回顾性分析。记录了功能和美容方面的长期稳定性结果。分析了41例患者（71只眼睑，30例双侧手术和11例单侧手术）的数据。最短随访期为12个月，平均为38.4个月（标准差23.3）。我们发现67/71（94.4%）例手术（38/41（92.7%）例患者）的上睑下垂矫正具有长期稳定性。90.1%（64/71）例手术或85.4%患者（35/41）的家长表示满意。3例患者（7.4%）的4只眼睑（5.4%）需要进一步手术。涤纶网是幼儿额肌悬吊术安全方便的悬吊材料，长期效果良好，并发症发生率低。
