Lam D S, Ng J S, Cheng G P, Li R T
Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
Am J Ophthalmol. 1998 Jul;126(1):109-15. doi: 10.1016/s0002-9394(98)00072-5.
To determine the safety and efficacy of autogenous palmaris longus tendon as a sling material in frontalis suspension surgery for ptosis correction in children.
In a prospective study, the authors evaluated 15 frontalis sling suspension surgeries using palmaris longus tendon in 14 consecutive children with congenital ptosis. The method of harvesting the palmaris longus tendon is described in detail.
The mean age of the patients was 4.7 years (range, 2 to 7 years). At a mean follow-up of 30 months (range, 20 to 40 months), all ptotic eyelids were successfully corrected with good final lid position. No recurrence of ptosis was encountered. In one eye, knot slippage of the sling was related to upper eyelid trauma, which was readily repaired. Otherwise, no exposure keratitis, wound infection, eyelid contour abnormality, or ptosis overcorrection occurred. There were no complications associated with the palmaris longus tendon donor site.
Frontalis suspension with autogenous palmaris longus tendon appears to be an effective treatment for congenital ptosis with poor levator function in children. Its use as an alternative material to fascia lata for sling surgery in children can be considered.
确定自体掌长肌腱作为吊带材料在前额肌悬吊手术中用于儿童上睑下垂矫正的安全性和有效性。
在一项前瞻性研究中，作者评估了连续14例先天性上睑下垂儿童接受的15次使用掌长肌腱的前额肌吊带悬吊手术。详细描述了掌长肌腱的取材方法。
患者的平均年龄为4.7岁（范围2至7岁）。平均随访30个月（范围20至40个月），所有上睑下垂的眼睑均成功矫正，最终眼睑位置良好。未出现上睑下垂复发情况。一只眼睛中，吊带的结滑脱与上睑外伤有关，很容易修复。此外，未发生暴露性角膜炎、伤口感染、眼睑轮廓异常或上睑下垂矫正过度。掌长肌腱供区未出现并发症。
自体掌长肌腱前额肌悬吊术似乎是治疗儿童提上睑肌功能不良的先天性上睑下垂的有效方法。可以考虑将其作为儿童吊带手术中阔筋膜的替代材料。
