Dedhia Raj D, Shipchandler Taha Z, Tollefson Travis T
Department of Otolaryngology-Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.
Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, 340 West 10th Street, Indianapolis, IN 46202, USA.
Facial Plast Surg Clin North Am. 2021 Aug;29(3):447-451. doi: 10.1016/j.fsc.2021.03.007.
Eyelid coupling using the modified tarsoconjunctival flap is an effective treatment for paralytic ectropion. Eyelid position and quality of life can be improved in patients with flaccid facial paralysis using these eyelid coupling procedures. The modified tarsoconjunctival flap can obscure the lateral visual field by coupling the eyelids, but without distortion of the canthal angle and eyelid margin. The procedure is often coupled with a lateral canthoplasty or canthopexy to address horizontal laxity of the lower eyelid. Collecting standardized outcome measures will help establish the ideal treatment paradigm of paralytic eyelid malposition.
使用改良睑板结膜瓣进行眼睑连接是治疗麻痹性睑外翻的有效方法。采用这些眼睑连接手术可改善弛缓性面瘫患者的眼睑位置和生活质量。改良睑板结膜瓣通过连接眼睑可遮挡外侧视野，但不会导致眦角和眼睑边缘变形。该手术通常与外眦成形术或眦固定术联合进行，以解决下睑的水平松弛问题。收集标准化的疗效指标将有助于确立麻痹性眼睑错位的理想治疗模式。
