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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 investigate the clinical effect of frontal myofascial flap transposition of the orbital septum to correct severe congenital blepharoptosis. Methods From January 2007 to October 2010, 42 cases with severe congenital ptosis and 49 eyes were treated with conventional suboccipital orbicularis muscle dissection to make the frontal myofascial flap. Lateral orbital septum was excised to remove part After fat, the amount of myofascial flap through the orbital septum, sutured to the upper edge of the tarsus. Results After 6 months of follow-up, 49 eyes were normal in shape and no other complications occurred. CONCLUSIONS: The frontal fascia flap moves in the direction of levator palpebra muscle movement and is not easily adhered to the surrounding tissue. The postoperative eyelid appearance is realistic and worthy of clinical application.