Kobus Kazimierz, Wójcicki Piotr, Rychlik Dariusz
Kliniki Chirurgii Plastycznej Akademii Medycznej we Wrocławiu.
Klin Oczna. 2008;110(4-6):159-65.
Retrospective analysis of the results in the treatment of congenital blepharoptosis.
We retrospectively reviewed the records of 389 patients with blepharoptosis who underwent surgical treatment in the Hospital of Plastic Surgery in Polanica-Zdrój, from January 1976 to January 2005. The age of patients, degree of malformation and unilateral or bilateral occurrence of ptosis, was analyzed. Moreover, we studied treatment results of patients with blepharoptosis treated in our hospital and patients treated elsewhere, before admission to our hospital.
218 patients from 327 operated in our hospital had levator muscle resections. After 6 months of observation 39 patients were qualified for surgical re-correction. 12 months after surgery 4 patients had recurrence of ptosis. Frontalis suspension technique with using the temporal fascia, was performed in 109 patients. After 6 months observation, 8 patients were qualified for surgical re-correction.
For patients with maintained function of the levator muscle the most effective and physiological procedure, is the muscle shortening. Frontalis suspension technique with use of the temporal fascia should be limited to treat failure cases and patients with poor or absent function of the levator muscle.
对先天性上睑下垂的治疗结果进行回顾性分析。
我们回顾性分析了1976年1月至2005年1月在波兰尼察-兹德罗伊整形外科医院接受手术治疗的389例上睑下垂患者的病历。分析了患者的年龄、畸形程度以及上睑下垂的单侧或双侧情况。此外，我们研究了我院治疗的上睑下垂患者以及入院前在其他地方治疗的患者的治疗结果。
我院327例接受手术的患者中有218例行提上睑肌切除术。观察6个月后，39例患者符合手术再次矫正条件。术后12个月，4例患者上睑下垂复发。109例患者采用颞筋膜额肌悬吊术。观察6个月后，8例患者符合手术再次矫正条件。
对于提上睑肌功能尚存的患者，最有效且符合生理的手术方法是肌肉缩短术。使用颞筋膜的额肌悬吊术应限于治疗失败病例以及提上睑肌功能差或丧失的患者。
