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[额肌腱膜瓣悬吊术矫正完全性上睑下垂]

[Correction of complete blepharoptosis with suspension by Frontalis aponeurosis flap].

作者信息

Huang F M

机构信息

Department of Ophthalmology, Southern Hospital, First Military Medical University, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1991 Mar;27(2):107-8.

PMID:1860402
Abstract

The surgical corrective result of complete blepharoptosis is often uncertain. With suspension by Frontalis aponeurosis flap under the brow, the author treated 73 cases satisfactorily, the results conforming to Fox's criteria of a normal eyelid. The incision is made in the skin and Orbicularis oculi at the double-fold of the eyelid, and a muscle flap 2 cm wide is separated from under the Orbicularis oculi at the brow in the conjunction of Orbicularis oculi and Frontalis. The flap is fixed to the tarsus, and a strip of redundant skin 2-3 mm wide excised. The incision is closed with intermittent sutures.

摘要

完全性上睑下垂的手术矫正效果往往不确定。作者采用眉下额肌腱膜瓣悬吊法治疗73例,效果满意,结果符合Fox提出的正常眼睑标准。在眼睑皱襞处的皮肤和眼轮匝肌上做切口,在眼轮匝肌与额肌交界处的眉部眼轮匝肌下分离出一条宽2cm的肌瓣。将肌瓣固定于睑板,并切除一条宽2 - 3mm的多余皮肤。切口用间断缝合法缝合。

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