额肌瓣悬吊治疗重度上睑下垂

上睑下垂有先天性和后天性,单侧和双侧。由于睑上提肌功能减弱或消失,导致上睑缘部分或全部遮盖瞳孔,影响视力及外形,以致在张眼时,患者常以抬眉皱额头部后仰加以代偿。临床上治疗方法有多种,各有特点。本文利用额肌瓣转移治疗不同类型的上睑下垂30例,在原手术方法的基础上加以改进,不切开额肌的外侧缘,不打开眶隔,剥离范围小,出血少,手术操作简便,效果可靠等优点。

TREATMENT OF MORE SERIOUS PTOSIS WITH SUSPENSION OF MUSCULI FRONTALIS FLAP

There are two types of ptosis, natural and acquired ptosis, with asingle side or both sides involved. In this paper we present our clinical experienc with the use of suspension of musculi frontalis flap in the treatment of ptosis of different kinds in 30 cases. Our procedure is a modified one based on previous performances. Its advantages are that it consists of no incision of the outside musculi frontalis, less extension of peeling operations, little bleeding and easier performance. All the cases in our group responded satisfactorily to the procedure.