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采用聚四氟乙烯吊带行改良 Fox 五边形术在额肌悬吊术治疗先天性上睑下垂中的应用

A modified Fox pentagon technique performed using a polytetrafluoroethylene sling in frontalis suspension to treat blepharophimosis syndrome.

机构信息

Department of Ophthalmology, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, China.

出版信息

Sci Prog. 2020 Jan-Mar;103(1):36850419893880. doi: 10.1177/0036850419893880.

DOI:10.1177/0036850419893880
PMID:32008456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10452787/
Abstract

The purpose of this study was to evaluate the functional and cosmetic outcomes of a new modified Fox pentagon technique performed using polytetrafluoroethylene in frontalis suspension surgery for blepharophimosis syndrome. This retrospective study enrolled 40 patients diagnosed with blepharophimosis syndrome from March 2016 to October 2018. All patients underwent frontalis suspension using a new modified Fox pentagon technique. The functional and cosmetic outcomes were evaluated. After the operation, the mean palpebral fissure height increased from 2.68 to 6.93 in right eyes and from 2.73 to 6.98 in left eyes. The mean MRD1 increased from 0.53 to 3.76 in right eyes and from 0.50 to 3.78 in left eyes. While preoperative to postoperative differences were statistically significant ( < 0.01), there were no significant differences between right and left eyes either before or after the surgery ( > 0.01). All patients achieved good cosmetic results with an average score of 0.6. We have experimentally created a modified Fox pentagon technique performed using a polytetrafluoroethylene sling in a frontalis suspension to treat BPES; this approach yielded favorable cosmetic and functional outcomes.

摘要

本研究旨在评估采用聚四氟乙烯前额悬吊带行改良 Fox 五边形术治疗先天性上睑下垂综合征的功能和美容效果。本回顾性研究纳入了 2016 年 3 月至 2018 年 10 月期间诊断为先天性上睑下垂综合征的 40 例患者。所有患者均采用改良 Fox 五边形术行前额悬吊带术。评估功能和美容效果。术后,右眼的睑裂高度从 2.68 增加到 6.93,左眼从 2.73 增加到 6.98。右眼的 MRD1 从 0.53 增加到 3.76,左眼从 0.50 增加到 3.78。术前与术后差异均有统计学意义( < 0.01),但手术前后右眼和左眼之间无显著差异( > 0.01)。所有患者均获得了良好的美容效果,平均评分为 0.6。我们通过实验创建了一种改良的 Fox 五边形技术,该技术使用前额悬吊带中的聚四氟乙烯吊带治疗 BPES;这种方法产生了良好的美容和功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/10452787/5fe7417cb7da/10.1177_0036850419893880-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/10452787/0e35c1bb5b5b/10.1177_0036850419893880-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/10452787/5fe7417cb7da/10.1177_0036850419893880-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/10452787/0e35c1bb5b5b/10.1177_0036850419893880-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377d/10452787/5fe7417cb7da/10.1177_0036850419893880-fig2.jpg

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