Goldberger S, Conn H, Lemor M
Department of Ophthalmology, White Memorial Medical Center, Los Angeles, CA 90033.
Ophthalmic Plast Reconstr Surg. 1991;7(1):48-53. doi: 10.1097/00002341-199103000-00006.
The frontalis suspension operation has proven effective for patients with significant ptosis and poor levator function. In patients with poor eye protective mechanisms, silicone rods may be used since the material has enough tensile strength to raise the eyelids yet it is sufficiently elastic to allow closure via action of the orbicularis muscle. This article reports the technique and results of a modified operation that uses two silicone rods per upper eyelid and eliminates fixation sutures to tarsus inferiorly and frontalis muscle superiorly. The results obtained are discussed. This technique provides a better upper eyelid contour and is easily adjustable postoperatively.
额肌悬吊术已被证明对重度上睑下垂且提上睑肌功能差的患者有效。对于眼部保护机制差的患者，可使用硅胶棒，因为这种材料具有足够的拉伸强度来提起眼睑，同时又具有足够的弹性，可通过眼轮匝肌的作用实现眼睑闭合。本文报告了一种改良手术的技术和结果，该手术在上眼睑使用两根硅胶棒，省去了向下固定于睑板和向上固定于额肌的缝线。文中讨论了所获得的结果。该技术可提供更好的上眼睑轮廓，且术后易于调整。
