改良额肌瓣悬吊术治疗先天性上睑下垂  

Treatment of congenital ptosis by modified frontal muscle flap suspension

作　　者：刘彩霞[1] 张漫萍[1] 陈云飞[1] 

机构地区：[1]海南省海口市人民医院眼科中心,570208

出　　处：《中国斜视与小儿眼科杂志》2009年第3期115-116,101,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

摘　　要：目的提高儿童中重度先天性上睑下垂的治疗效果。方法对42例(53眼)中重度先天性上睑下垂的儿童施行改良额肌瓣悬吊术:沿重睑线切开皮肤,剪除部分眼轮匝肌,显露睑板,分别作额肌与皮下、额肌与骨膜间的分离,于眉下提起并横形切断额肌,于其内侧向上切开肌瓣达眉上1-1.5cm,外侧向上剪开0.5cm,形成不等边的额肌瓣,三针褥式缝线固定于睑板上缘。结果42例53眼,切口均一期愈合,随访6月～5年,上睑下垂矫正满意,睑缘外形匀称,上睑闭合良好,无复发和并发症。结论改良式额肌瓣悬吊术治疗儿童先天性中重度上睑下垂疗效确切,远期效果较好。Objective To improve the therapeutic effects of the children＇s severe congenital ptosis. Methods 42 cases（53 eyes） with severe congenital ptosis were operated by modified frontal muscle flap suspension. The skin was incised along the dual eyelid line,partly orbicularis oculi was excised,then tarsal plate was been revealed.The tunnel between orbicularis oculi and orbit septum was made,a inequilateral frontal muscle flap was designed in supraorbital margin frontal muscle attachment.Frontal muscle flap was sewn to the upper edge of tarsal plate.Results All ptosis of 53 eyes in 42 cases were treated with excellent results in function and cosmetic appearance.The upper eyelid could be closed effectively.There were no any recurrence and complications in this group.Conlusions Modified frontal muscle flap suspension is a reliable method for treatment of severe congenital ptosis of children.

关 键 词：额肌瓣悬吊 手术 先天性 上睑下垂 

分 类 号：R779.6[医药卫生—眼科]