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采用硅胶棒两点眉部切口额肌悬吊术治疗上睑下垂的临床疗效

Clinical Outcomes of Frontalis Sling Using Silicone Rod With Two-point Brow Incisions in Blepharoptosis.

作者信息

Sung Youngje, Park Jong Seo, Lew Helen

出版信息

J Pediatr Ophthalmol Strabismus. 2016 Jul 1;53(4):224-32. doi: 10.3928/01913913-20160511-04.

DOI:10.3928/01913913-20160511-04
PMID:27428622
Abstract

PURPOSE

To investigate the functional and cosmetic outcomes of the modified frontalis sling operation using silicone rod with two-point brow incisions.

METHODS

A retrospective medical record review of 17 patients who underwent frontalis suspension surgery was performed. Functional outcomes were measured using habitual margin reflex distance. Cosmetic outcomes were investigated with contour analysis and a Patient Scar Assessment Questionnaire.

RESULTS

At the final visit, good and fair eyelid heights were achieved in 75% of patients in the unilateral group and 61.1% in the bilateral group. The average increase in margin reflex distance 1 was 1.9 mm in the unilateral group and 1.8 mm in the bilateral group. Satisfaction scores were 14.6, 8.2, and 11.8 for appearance, symptoms, and consciousness, respectively. In contour analysis, the normal arch generally increased.

CONCLUSIONS

Frontalis suspension with two-point brow incisions resulted in similar functional and cosmetic outcomes as the three-point brow incision technique. This study showed patient satisfaction with the aesthetic result after the frontalis sling procedure. [J Pediatr Ophthalmol Strabismus. 2016;53(4):224-232.].

摘要

目的

探讨采用硅胶棒及两点眉部切口改良额肌悬吊术的功能和美容效果。

方法

对17例行额肌悬吊手术的患者进行回顾性病历分析。使用习惯性边缘反射距离测量功能效果。通过轮廓分析和患者瘢痕评估问卷研究美容效果。

结果

末次随访时,单侧组75%的患者及双侧组61.1%的患者实现了良好和中等的眼睑高度。单侧组边缘反射距离1平均增加1.9毫米,双侧组增加1.8毫米。外观、症状和意识的满意度评分分别为14.6、8.2和11.8。在轮廓分析中,正常眉弓通常有所增加。

结论

两点眉部切口额肌悬吊术的功能和美容效果与三点眉部切口技术相似。本研究表明患者对额肌悬吊术后的美学效果满意。[《小儿眼科与斜视杂志》。2016;53(4):224 - 232。]

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