McElvanney A M, Adhikary H P
Frimley Park Hospital, Camberley, Surrey, UK.
Eye (Lond). 1996;10 ( Pt 5):548-50. doi: 10.1038/eye.1996.126.
A surgical technique employing orbital septum sutures during ptosis surgery in children is described. A retrospective study of 16 children (age range 6 months to 14 years) undergoing surgery for congenital ptosis over a 6 year period was undertaken with regard to cosmetic outcome. All surgery was performed by one consultant ophthalmic surgeon with the patient under general anaesthesia. A standard levator resection was undertaken, following which the orbital septum was redefined and sutured with interrupted 5-0 catgut. This resulted in a well-defined lid crease post-operatively, with a good cosmetic outcome. The only significant post-operative complication was the occurrence of a suture-related granuloma in one patient. All achieved a good cosmetic result. A mild residual ptosis occurred in 3 cases, requiring a further procedure. Special attention to suturing of orbital septum as a separate tissue layer during levator resection for congenital ptosis gives good lid crease definition which may enhance the overall cosmetic outcome.
本文描述了一种在儿童上睑下垂手术中采用眶隔缝合的手术技术。对16例（年龄范围6个月至14岁）在6年期间接受先天性上睑下垂手术的儿童进行了关于美容效果的回顾性研究。所有手术均由一名眼科顾问医师在全身麻醉下为患者进行。进行标准的提上睑肌切除术，然后重新界定眶隔并用5-0间断肠线缝合。这导致术后形成明确的睑皱襞，美容效果良好。唯一显著的术后并发症是1例患者出现与缝线相关的肉芽肿。所有患者均获得了良好的美容效果。3例出现轻度残余上睑下垂，需要进一步手术。在先天性上睑下垂的提上睑肌切除术中，将眶隔作为一个单独的组织层进行缝合时给予特别关注，可形成良好的睑皱襞，这可能会提高整体美容效果。
