在上睑下垂性睑裂闭合不全中使用金质重物进行上睑加载：一种改良技术，以最大限度地提高长期功能和美容效果。
Upper lid loading with gold weights in paralytic lagophthalmos: a modified technique to maximize the long-term functional and cosmetic success.
作者信息
Caesar R H, Friebel J, McNab A A
机构信息
Orbital, Plastic and Lacrimal Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
出版信息
Orbit. 2004 Mar;23(1):27-32. doi: 10.1076/orbi.23.1.27.28994.
PURPOSE
To describe a modified fixation technique to improve the long-term functional and cosmetic success of upper lid loading with gold weights.
METHOD
A retrospective single surgeon study of combined upper pre-tarsal and direct levator fixation of the gold weight. The minimum follow-up period was 12 months.
RESULTS
Gold weights were implanted with the modified technique into 29 patients. The gold weight was removed in two cases due to infection and in one case due to ptosis. There was no loss of function over the follow-up period and the cosmetic outcome was good or very good in all cases. The follow-up ranged from 12 to 84 months with a mean of 40 months.
CONCLUSIONS
Combined upper pre-tarsal fixation and direct levator fixation is effective in maximizing both the long-term functional and cosmetic success of upper lid loading with gold weights in paralytic lagophthalmos.
目的
描述一种改良固定技术，以提高用金重块进行上睑负重术的长期功能和美容效果。
方法
对一位外科医生采用上睑睑板前联合提上睑肌直接固定金重块的情况进行回顾性研究。最短随访期为12个月。
结果
采用改良技术将金重块植入29例患者体内。2例因感染、1例因上睑下垂而取出金重块。随访期间功能无丧失，所有病例的美容效果均为良好或非常好。随访时间为12至84个月，平均40个月。
结论
上睑睑板前联合提上睑肌直接固定术在使麻痹性兔眼用上金重块进行上睑负重术的长期功能和美容效果最大化方面是有效的。
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