Wang Tailing, Li Xiuqi, Wang Xiao, Wang Qianwen, Li Wuyan, Zhou Lu, Song Weiming, Wang Jiaqi
Head & Neck Cosmetic Surgery Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing 100144, PR China.
Department of Plastic Surgery, Hebei General Hospital, Hebei Province, PR China.
J Plast Reconstr Aesthet Surg. 2017 May;70(5):692-698. doi: 10.1016/j.bjps.2016.10.013. Epub 2016 Nov 16.
Blepharoptosis is defined as an abnormally low-lying upper eyelid margin in the primary gaze, causing vertical narrowing of the palpebral fissure. It is difficult to achieve consistently satisfactory results in moderate or severe cases despite many surgical methods being available to correct them.
Between January 2001 and December 2014, a retrospective cohort study was conducted using medical records and perioperative photographs of 235 patients. All the patients, having presented with moderate or severe bilateral or unilateral blepharoptosis, underwent blepharoptosis correction with the interdigitated orbicularis oculi-frontalis muscle flap suspension technique and contemporaneous double-eyelid surgery. The results, including complications, were followed up and evaluated.
The mean age of the patients was 17.4 years (range 3-50 years). The follow-up period ranged from 6 months to 8 years, with a mean follow-up of 13 months. Long-term postoperative complications included undercorrection (3.0%), overcorrection (0.7%) and eyelid fold deformity (4.0%). No ectropion, entropion, fornix conjunctival prolapse or exposure keratitis was noted.
Blepharoptosis correction with interdigitated orbicularis oculi-frontalis muscle flap suspension is an effective technique for the management of moderate or severe blepharoptosis. The results demonstrated very low complication rates and substantial cosmetic and functional improvement using simple manipulation.
上睑下垂被定义为在第一眼位时上睑缘位置异常低下，导致睑裂垂直方向变窄。尽管有多种手术方法可用于矫正，但在中度或重度病例中，始终难以获得令人满意的效果。
2001年1月至2014年12月，采用235例患者的病历和围手术期照片进行回顾性队列研究。所有表现为中度或重度双侧或单侧上睑下垂的患者，均采用眼轮匝肌-额肌肌瓣交错悬吊技术进行上睑下垂矫正，并同期行双眼皮手术。对结果（包括并发症）进行随访评估。
患者的平均年龄为17.4岁（范围3 - 50岁）。随访期为6个月至8年，平均随访13个月。术后长期并发症包括矫正不足（3.0%）、矫正过度（0.7%）和眼睑皱襞畸形（4.0%）。未观察到睑外翻、睑内翻、穹窿结膜脱垂或暴露性角膜炎。
眼轮匝肌-额肌肌瓣交错悬吊矫正上睑下垂是治疗中度或重度上睑下垂的有效技术。结果显示并发症发生率极低，通过简单操作可实现显著的美容和功能改善。
