Kataev M G, Filatova I A
Vestn Oftalmol. 1996 Apr-Jun;112(2):18-22.
The paper deals with the treatment of severe congenital upper lid ptosis. In cases with the minimal mobility of the upper lid suspending operations are usually resorted to, those with suspending to Whitnall's ligament, among other things. Maximal resection of the levator muscle brought about encouraging results. The present paper describes the results of a modified operation: maximal resection of the levator with transposition of the muscle through Whitnall's ligament. A peculiar feature of surgical technique consists in preserving the intactness of the transverse ligament of the upper lid, crossing the lateral horns of the levator through the entire height, and transposition of the resected levator above Whitnall's ligament, this followed by suturing to the tarsal plate. The results of surgery were good. A better cosmetic and functional effect was attained than after common maximal resection of the levator; moreover, a lesser resection of the levator is needed in cases with the same degree of ptosis.
本文探讨重度先天性上睑下垂的治疗方法。对于上睑活动度极小的病例，通常采用悬吊手术，其中包括悬吊至惠特纳尔韧带等方法。提上睑肌的最大切除取得了令人鼓舞的效果。本文描述了一种改良手术的结果：提上睑肌最大切除并通过惠特纳尔韧带进行肌肉转位。手术技术的一个独特之处在于保留上睑横韧带的完整性，该韧带在提上睑肌外侧角的整个高度穿过，将切除的提上睑肌转位至惠特纳尔韧带上方，然后缝合至睑板。手术效果良好。与常规的提上睑肌最大切除相比，获得了更好的美容和功能效果；此外，在相同程度上睑下垂的病例中，所需的提上睑肌切除量更少。
