摘要
目的探讨额肌筋膜瓣经眶隔膜转移矫正重度先天性上睑下垂的临床效果。方法 2007年1月至2010年10月收治重度先天性上睑下垂42例,49只眼,常规经眼轮匝肌下分离松解制成额肌筋膜瓣,横向切开眶隔,去除部分脂肪后,将额肌筋膜瓣从眶隔内穿过,缝合于睑板上缘。结果经过6个月随访,49只眼形态自然,无其它并发症发生。结论本术式的额肌筋膜瓣运动方向接近上睑提肌运动方向且不易与周围组织粘连,术后眼睑外形逼真,值得临床应用。
Objective To evaluate the clinical result of the frontalis muscle fascial flap passing through the pulley of orbital septum for correction of severe congenital blepharoptosis.Methods Totally 49 eyes in 42 cases with severe congenital blepharoptosis were treated from 2007 to 2010.After the frontalis muscle fascial flap was prepared beneath the orbicularis oculi muscle,the pulley was created by two parallel horizontal incision on the orbital septum at the upper orbital rim and under the upper rim.The frontalis muscle fascial flap was then pulled down behind the pulley and out to be attached to the upper margin of tarsal plate.Results The following-up period was 6 months.Satisfactory cosmetic result was achieved in 49 eyes.No other complication was ovserved.Conclusions The pulley created by the orbital septum makes the tracton lines of the frontalis muscle fascial flap in a similar direction as the natural movement of levator muscle.The technique is very practicable in correction of severe congenital blepharoptosis.
出处
《医药论坛杂志》
2011年第10期46-47,共2页
Journal of Medical Forum
关键词
额肌筋膜瓣
眶隔膜
上睑下垂
Frontalis muscle fascial flap
Pulley of orbital septum
Blepharoptosis
