眶隔筋膜瓣联合额肌瓣悬吊矫正重度上睑下垂  

Use the orbital musculo-fascial flap and frontalis muscle flap suspension to correct serious ptosis of upper eyelid

作　　者：杨文华 熊曼 韩岩[2] 

机构地区：[1]解放军第3201医院美容科,陕西汉中723000 [2]第四军医大学西京医院全军整形外科中心,陕西西安710032

出　　处：《中国美容医学》2009年第11期1606-1607,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究利用眶隔筋膜瓣联合额肌瓣悬吊矫正重度上睑下垂的临床效果。方法:采用该方法,手术形成蒂在睑板上缘的眶隔筋膜舌形瓣,并与额肌建立连接,治疗重度上睑下垂24例。结果:临床治疗33只眼(24例)随访3～6个月,外形自然,闭合自如,无复发现象,均获得满意效果。结论:与单纯的额肌悬吊不同,该术式形成的上提眼睑系统更符合生理结构,并具备动态矫正效果,手术后外形满意,功能良好。Objective To make researches on what clinical effects the orbital musculo-fascial flap and frontalis muscle flap suspension will make on correcting serious ptosis of upper eyelid. Methods In this way, after the operation the pedicel above the tarsus＂ orbital musculo-fascial linguiform flap joins frontalis to cure 24 patients with serious ptosis of upper eyelid. Results A follow-up visit for 3-6 months shows that the the clinical treatment of 33eyes （24 cases） has all got a satisfying effect as a result of nature contour, free coroclisis and no palindromia. Conclusion This operation is different from simple frontalis muscle suspension and forms eyelid lift system which is very consonant with biological structures and has a dynamic correction effect. After the operation, the contour is a satisfaction and function is good.

关 键 词：上睑下垂 眶隔筋膜瓣 额肌瓣 悬吊 

分 类 号：R777.1[医药卫生—眼科]