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目的探讨改良扇形额肌腱膜瓣悬吊术治疗重度先天性上睑下垂的手术方法和效果。方法采用改良扇形额肌腱膜瓣悬吊术矫正重度上睑下垂30例(52眼)。术后观察6~12个月。结果术后矫正良好40眼,基本矫正7眼,矫正不足5眼,过矫0眼。结论扇形额肌腱膜瓣悬吊术矫正重度的先天性上睑下垂,保留了额肌丰富的血供和神经支配,也有足够的肌力起到开睑的作用,手术易操作,损伤小,术后外观自然,并发症少,符合生理和解剖的要求。
Objective To investigate the surgical method and effect of modified fan forehead tendon flap suspension for severe congenital ptosis. Methods Thirty patients (52 eyes) with severe blepharoptosis were treated with modified fan-shaped forehead tendon flap suspension. Postoperative observation of 6 to 12 months. Results Good postoperative correction of 40 eyes, the basic correction of 7 eyes, correction of less than 5 eyes, overcorrection 0 eyes. Conclusions The fan-shaped frontal muscle flap suspends to correct severe congenital blepharoptosis, which retains the abundant blood supply and innervation of the frontal muscles. It also has sufficient muscular strength to function as an open eyelid. The operation is easy and the operation is less invasive. After the appearance of natural, less complications, in line with physiological and anatomical requirements.