Gabrieli C B, Recupero S M, Contestabile M T, Pacella E, Abdolrahimzadeh S
II Ophthalmology Clinic, Università of Rome La Sapienza, Italy.
Ophthalmic Surg Lasers. 1996 Nov;27(11):924-8.
Frontalis suspension is the best surgical procedure for severe ptosis with poor or absent levator muscle function. In addition to autologous fascia lata, a variety of materials are available for suspension. The authors describe the use of Mersilene mesh slings developed to overcome the problems of failure, slippage, and extrusion commonly associated with various suspensory materials.
Brow suspension was performed in 20 ptotic eyelids of 14 patients. All patients had severe ptosis with levator function of 4 mm or less. The surgical technique used was a modified version of the method originally described by Fox using the Mersilene mesh sling.
The improvement in lid height was evaluated by preoperative and postoperative vertical aperture measurements and ranged from 2 to 5 mm (average 3.5 mm). The results were maintained in all cases during a follow-up period of 18 months.
The good functional and cosmetic results suggest that Fox's modified technique using the Mersilene mesh sling has a definite place in ptosis management.
对于提上睑肌功能差或缺失的重度上睑下垂，额肌悬吊术是最佳的手术方法。除了自体阔筋膜外，还有多种材料可用于悬吊。作者描述了使用Mersilene网片吊带，以克服各种悬吊材料常见的失败、滑动和挤出问题。
对14例患者的20只上睑下垂眼睑进行了眉悬吊术。所有患者均为重度上睑下垂，提上睑肌功能为4mm或更低。所采用的手术技术是对Fox最初描述的使用Mersilene网片吊带的方法的改良版本。
通过术前和术后垂直孔径测量评估睑裂高度改善情况，范围为2至5mm（平均3.5mm）。在18个月的随访期内，所有病例的结果均得以维持。
良好的功能和美容效果表明，Fox使用Mersilene网片吊带的改良技术在治疗上睑下垂方面有一定地位。
