Ma Ling, Zhang Lei, Liu Zhen, Wang Dandan, Li Yibao, Zhang Chengyue
Department of Ophthalmology, Pediatric Hospital Affiliated to Fudan University, Anhui Hospital, Anhui Children's Hospital, Hefei, China.
Department of Ophthalmology, Fuyang People's Hospital, Fuyang, China.
Front Surg. 2022 May 16;9:904307. doi: 10.3389/fsurg.2022.904307. eCollection 2022.
Analysis of the value of expanded polytetrafluoroethylene (e-PTFE) frontalis suspension applied to children with congenital ptosis.
Eighty clinical cases of children with congenital ptosis from October 2019 to October 2021 were randomly selected from our hospital. All children were divided into the observation group ( = 44) treated with e-PTFE frontalis suspension and the control group ( = 36) treated with frontalis flap suspension according to the treatment procedure. Comparison of eyelid condition [palpebral fissure height, margin reflex distance (MRD), eyelid closure time], ocular surface status [corneal fluorescein staining (CFS) score, tear film breakup time (TBUT), surgical eye lacrimal river height (LRH), sehirmer test I (STI)], frontal muscle strength of affected side, cosmetic results and complications in both groups at 1, 6 and 12 months postoperative follow-up.
At 1, 6 and 12 months after surgery, there was no significant difference in terms of palpebral fissure height and MRD between both groups ( > 0.05); After surgery, the eyelid closure time was shorter in the observation group than in the control group ( < 0.05). At 1, 6 and 12 months after surgery, the CFS scores were lower in the observation group than in the control group ( < 0.05); At 6 and 12 months after surgery, the TBUT was longer and the surgical eye LRH was higher in the observation group than in the control group (< 0.05); At 1, 6, and 12 months after surgery, there was no significant difference in STI between both groups ( < 0.05). At 1, 6 and 12 months after surgery, the frontal muscle strength of affected side was higher in the observation group than in the control group ( < 0.05). At 1, 6, and 12 months after surgery, there was no significant difference in cosmetic results between both groups ( > 0.05). The overall complication rate in the observation group (6.82%) was lower than that in the control group (25.00%) ( < 0.05).
The surgical and cosmetic results of e-PTFE frontalis suspension and frontalis flap suspension applied to congenital ptosis are comparable, but the former has the advantage of faster postoperative recovery, better ocular surface status, less frontali muscle strength damage and fewer complications.
分析膨体聚四氟乙烯（e-PTFE）额肌悬吊术应用于先天性上睑下垂患儿的价值。
从我院随机选取2019年10月至2021年10月80例先天性上睑下垂患儿。所有患儿根据治疗方式分为观察组（n = 44），采用e-PTFE额肌悬吊术治疗，对照组（n = 36）采用额肌瓣悬吊术治疗。比较两组术后1、6和12个月时的眼睑情况[睑裂高度、边缘反射距离（MRD）、眼睑闭合时间]、眼表状态[角膜荧光素染色（CFS）评分、泪膜破裂时间（TBUT）、术眼泪河高度（LRH）、泪液分泌试验I（STI）]、患侧额肌力量、美容效果及并发症。
术后1、6和12个月时，两组睑裂高度和MRD差异无统计学意义（P > 0.05）；术后观察组眼睑闭合时间短于对照组（P < 0.05）。术后1、6和12个月时，观察组CFS评分低于对照组（P < 0.05）；术后6和12个月时，观察组TBUT更长，术眼LRH更高（P < 0.05）；术后1、6和12个月时，两组STI差异无统计学意义（P < 0.05）。术后1、6和12个月时，观察组患侧额肌力量高于对照组（P < 0.05）。术后1、6和12个月时，两组美容效果差异无统计学意义（P > 0.05）。观察组总并发症发生率（6.82%）低于对照组（25.00%）（P < 0.05）。
e-PTFE额肌悬吊术和额肌瓣悬吊术应用于先天性上睑下垂的手术及美容效果相当，但前者具有术后恢复更快、眼表状态更好、额肌力量损伤更小及并发症更少的优势。
