Debski Tomasz, Jethon Józef, Pietruski Piotr, Radzikowska Elzbieta
Klinika Chirurgii Plastycznej, Centrum Medycznego Kształcenia Podyplomowego w Warszawie.
Klin Oczna. 2012;114(3):198-203.
To evaluate long-term outcome of frontalis suspension using autogenous fascia lata (frontalis suspension - FS) which is indicated in the treatment of severe blepharoptosis with minimal levator function.
Fourty one patients (23 females, 18 males, aged 6-79 years, mean 41.4 years) who underwent FS between 1999 and 2009 were evaluated. Mean follow-up was 55 months. Functional outcome was measured on digital photographs by analysis of an upper eyelid margin position below the superior limbus. Following criteria were used: very good (< 3 mm), good (3-5 mm), unsatisfactory (> 5 mm). Aesthetic outcome was assessed in terms of lid contour, symmetry of lid height and lid crease. Patient satisfaction and life quality improvement were evaluated in the survey.
Functional outcome was very good in 36%, good in 59.3%, unsatisfactory in 4.7%. Recurrence occured in 4.6% and complications in 10.9% (lagophthalmos--6.2%, entropion--4.7%). Very good aesthetic outcome regarding lid contour, symmetry of lid height and lid crease was achieved in 76.6%, 53.6% and 51.6%, respectively. Patient satisfaction and life quality improvement was also very high. There were only 1.6% unsatisfied patients.
FS is an efficient method in treatment of severe blepharoptosis.
评估使用自体阔筋膜进行额肌悬吊术（额肌悬吊术 - FS）的长期效果，该手术适用于提上睑肌功能极小的重度上睑下垂的治疗。
对1999年至2009年间接受FS手术的41例患者（23例女性，18例男性，年龄6 - 79岁，平均41.4岁）进行评估。平均随访时间为55个月。通过分析数码照片上睑缘位于角膜上缘下方的位置来测量功能结果。采用以下标准：非常好（<3毫米）、良好（3 - 5毫米）、不满意（>5毫米）。从眼睑轮廓、睑裂高度对称性和睑皱襞方面评估美学效果。通过调查评估患者满意度和生活质量改善情况。
功能结果非常好的占36%，良好的占59.3%，不满意的占4.7%。复发率为4.6%，并发症发生率为10.9%（兔眼 - 6.2%，睑内翻 - 4.7%）。在眼睑轮廓、睑裂高度对称性和睑皱襞方面，美学效果非常好的分别占76.6%、53.6%和51.6%。患者满意度和生活质量改善程度也非常高。不满意的患者仅占1.6%。
FS是治疗重度上睑下垂的一种有效方法。
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