目的:观察额肌筋膜瓣转移悬吊术治疗重度上睑下垂的效果。方法:对52例72眼重度上睑下垂进行额肌筋膜瓣转移悬吊术治疗。结果:本组52例72眼随访1～6a,2例4眼矫正轻度不足,2例4眼重睑轻度不对称,其余均获得满意疗效,上睑弧度及双重睑自然美观,恢复了上睑功能。仅部分病例早期轻度睑裂闭合不全,无暴露性角膜炎等并发症发生。结论:额肌筋膜瓣转移悬吊术是治疗重度上睑下垂最理想的手术方法,手术中的上睑缘位置高低,额肌缝合睑板的位置是手术成功的关键。

·AIM:To observe the effect of frontalis fascia petal suspension surgery for severe ptosis.·METHODS:Totally 52 patients 72 eyes with severe ptosis underwent the frontalis fascia petal suspension surgery.·RESULTS:After the follow-up of 1-6 yaer,mild insufficient corrections were in 2 patients 4 eyes,mild asymmetrical were in 2 patients 4 eyes;Other patients obtained the satisfactory effect,with eyelid radian and natural beautifulness.The eyelid function was restored.Some cases presented palpebral fissure dysraphism.There was no exposition keratitis occurrences.·CONCLUSION:The frontalis fascia petal suspension surgery is the most ideal method for severe ptosis.The height of upper eyelid limbus and suture position play the key effect in satisfactory operation.·

R779.6