联合筋膜鞘(CFS)悬吊术治疗额肌瓣悬吊术后复发重度上睑下垂  

Clinical report of conjoint fascial sheath(CFS) suspension on the treatment of recurrent blepharoptosis by frontal muscle flap suspension

作　　者：王振军 刘柳[2] 王恒 WANG Zhen-jun;LIU Liu;WANG Heng(Beijing Lomeye Cosmetic Surgery Clinic,Beijing 100022,China;Dermatology and Plastic Surgery Department, Beijing Chaoyang Hospital,Jingxi Campus,Capital University of Medical,Beijing 100043, China)

机构地区：[1]北京来美安医疗美容诊所,北京100022 [2]首都医科大学附属北京朝阳医院皮肤与医疗美容科,北京100043

出　　处：《中国美容医学》2016年第8期30-33,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨额肌瓣悬吊术治疗上睑下垂手术失败后,利用联合筋膜鞘(CFS)悬吊手术再次手术矫正的临床效果。方法:2008年12月-2014年12月6年间,利用该技术治疗额肌瓣悬吊术后复发上睑下垂213例共339只眼,单侧87例,双侧126例,随访1年到5年。在局部麻醉下,将睑板上缘与位于上直肌与提上睑肌之间的联合筋膜鞘缝合固定以提高上眼睑的高度。结果:其中治愈282只眼,占83.2%,改善51只眼,占15.0%。无效6只眼,占1.8%。对29只改善眼进行了术后二次调整手术,均达到治愈标准;对6只无效眼进行了调整手术,4只达到治愈标准,2只为改善,所有术后二次调整时间最短为术后5d,最长为术后6个月。结论:应用联合筋膜鞘悬吊技术是一种符合生理抬眼运动的带动力的悬吊手术。CFS治疗额肌瓣悬吊术后复发上睑下垂,具备术中可调整,手术结果高度可预测的优点。Objective To investigate the clinical effect of conjoint fascial sheath(CFS) suspension to correct the complicationscaused by the frontal muscle flap suspension surgery in the treatment of eyelid ptosis. Methods A series of 213 patients overa 6-year period underwent 339 eyelid procedures to repair complications following traditional frontal muscle flap suspensionsurgery. All eyelids were corrected with the authors' suspension technique by which CFS located between levator and superiorrectus was brought forward and sutured to the tarsus to raises the eyelid. Results Of the 339 cases, 282 eyelids were raisedwith 83.2% normalization, 15.0% (51) improvement, and only 1.8% (6) eyelids showed no changed. 29 of the favorable casesachieved satisfactory advancement for the ptosis by corrective procedure through early revision surgery.4 of the 6 unsuccessfulcases were normalized and the other 2 were improved after the revision surgery. No other complications were observed.Conclusion CFS is a dynamic suspension technique by which the elevating motion of the physiologic eyelids cloud bereconstructed. Correction of the complications following frontal muscle flap suspension surgery by CFS is simple to execute,measurable during surgery, and easy to adjust, and offers high predictability in its result.

关 键 词：上睑下垂 额肌瓣 悬吊术 联合筋膜鞘 

分 类 号：R622[医药卫生—整形外科]