[松解提上睑肌纤维束在矫正先天性上睑下垂中的作用]
[The role of releasing the fibrous bundles across levator muscle in correcting congenital blepharoptosis].
作者信息
Ouyang Tian-xiang, Xing Xin, Li Jun-hui, Liu Jun, Hao Lan, Yuan Si-ming, Guo En-tan
机构信息
Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2003 May;19(3):186-7.
OBJECTIVE
To investigate the role of releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus in the correction of the congenital blepharoptosis.
METHODS
Twenty-seven patients with 40 eyes of blepharoptosis were undergoing the treatment. It was performed by releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus to correct the mild and moderate blepharoptosis. A further procedure can also be added to by folding the levator aponeurosis if necessary. In the severe blepharoptosis, the frontalis aponeurose flap may be applied for the suspension as well during the operation.
RESULTS
Of the 40 eyes in 27 cases with mild, moderate and severe blepharoptosis were treated by using this method, with 38 eyes corrected satisfactorily and 2 eyes corrected mostly in the following-ups from 3 months to 1 year.
CONCLUSION
The above mentioned technique may be a good, simple and effect method to corret congenital blepharoptosis.
目的
探讨松解睑板上缘内眦与外眦间提上睑肌纤维束在先天性上睑下垂矫正中的作用。
方法
对27例40眼上睑下垂患者进行治疗。通过松解睑板上缘内眦与外眦间提上睑肌纤维束来矫正轻、中度上睑下垂。必要时还可加行提上睑肌腱膜折叠术。对于重度上睑下垂，术中也可应用额肌腱膜瓣悬吊。
结果
27例40眼轻、中、重度上睑下垂采用该方法治疗，随访3个月至1年，38眼矫正满意，2眼基本矫正。
结论
上述技术可能是一种矫正先天性上睑下垂的良好、简单且有效的方法。
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