额肌筋膜直接悬吊治疗上睑下垂
Correction of blephraroptosis by direct suspension of frontalis-aponeurosis
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摘要: 目的: 探讨额肌筋膜直接悬吊治疗上睑下垂的术式效果。方法: 术中将额肌筋膜与皮下组织充分游离,在眶上缘下横行切开额肌筋膜约1.5 cm,通过此切口在骨膜面上向上分离额肌筋膜,至眶上1.5 cm左右,然后将分离后的额肌筋膜直接向下牵拉与睑板上缘上睑提肌腱膜缝合固定3~4针,并调整固定张力适度为止。结果: 36例切口均一期愈合。手术效果肯定,重睑外形佳,患者满意,经6~12个月随访,无一例复发。结论: 额肌筋膜直接悬吊与传统术式相比,术式简便,上睑不臃肿,组织损伤小,效果肯定,无损伤神经血管之忧,是治疗上睑下垂优选方法。Abstract: Objective: To introduce a new method of treating blepharoptosis.Methods: Thirty-six cases of blepharoptosis were corrected by direct suspension of the frontalis-aponeurosis.The frontalis-aponeurosis was isolated from the subcutis and a 1.5 cm incision was cut upper the margin of eyebrow.And through the incision,the frontalis-aponeurosis on the superficies of periosteam was dissected 1.5 cm to the upper margin of orbital and the superficiesaponeurosis was pulled down and fixed to the levator rnuscle-aponeurosis by mattress sutures,with the tension being adjusted to a moderate degree.Results: Thirty six cases of blepharoptosis were cured by primary hedling with this method.The patients were followed up for 6 to 12 months with satisfactory results and no recurrences.Conclusions: Compared with the traditional methods,this one may decrease the damage to the upper lid and frontalis area,leaving no risk of damaging the vessels or nerves.The technique is simple and the curative effect is affirmed.It is the first choice for treatment of blepharoptosis.