Huang Wei-qing, Qiao Qun, Zhao Ru, Wang Xiao-jun, Fang Xue-quan
Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100032, China.
Chin Med J (Engl). 2007 Aug 20;120(16):1413-5.
So far, most of the surgical techniques for congenital blepharophimosis syndrome are two-stage procedures. In this study, we investigated a modified one-stage procedure to reduce the suffering of patients.
From 2003 to 2005, we adopted an one-stage technique combining blepharoptosis correction with medial canthoplasty in 16 patients with congenital blepharophimosis syndrome (10 male, 6 female; aged from 6 to 21). All the patients had bilateral severe blepharoptosis, epicanthus inversus, and flat dorsum nasi. The movement of the upper lid was 0 to 3 mm, vertical length of the eye fissure 2 to 4 mm, horizontal length 13 to 22 mm, and the distance between the eyes was 35 to 39 mm. The patients were followed up for one half to 2 years after the operation.
In all the patients, after the operation, the horizontal length of the eyelid > 25 mm, the vertical length > 6 mm. and the distance between the eyes < 35 mm. The appearance of their double eyelids was satisfying.
The modified one-stage technique combining blepharoptosis correction with medial canthoplasty can achieve favorable outcomes for patients with congenital blepharophimosis syndrome.
到目前为止，大多数先天性睑裂狭小综合征的手术技术都是两阶段手术。在本研究中，我们研究了一种改良的单阶段手术，以减轻患者的痛苦。
2003年至2005年，我们采用一种将上睑下垂矫正与内眦成形术相结合的单阶段技术，对16例先天性睑裂狭小综合征患者（男10例，女6例；年龄6至21岁）进行治疗。所有患者均有双侧重度上睑下垂、内眦赘皮和鼻背扁平。上睑活动度为0至3毫米，睑裂垂直长度为2至4毫米，水平长度为13至22毫米，两眼间距为35至39毫米。术后对患者进行了半年至2年的随访。
所有患者术后睑裂水平长度>25毫米，垂直长度>6毫米，两眼间距<35毫米。其双眼皮外观令人满意。
将上睑下垂矫正与内眦成形术相结合的改良单阶段技术，可为先天性睑裂狭小综合征患者带来良好疗效。
