改良的额肌瓣悬吊治疗上睑下垂

目的　为了减少额肌损伤，保证额肌瓣的收缩力，提高上睑下垂的治疗效果。方法　重睑成形术切口，切开皮肤、皮下及眼轮匝肌。于眼轮匝肌深面向上直接分离额肌深层，然后再于眶缘额肌与眼轮匝肌交界处进入额肌浅层分离达眉上1.5～2cm，纵行切开肌瓣两侧，外侧应为内侧的1/3。结果　临床应用治疗38例59只眼，除1例因外伤致左眼上睑下垂，术后效果欠佳外，其余37例58只眼治疗效果满意。结论　本法减少了额肌瓣外侧血管神经损伤，由于增加蒂部宽度，增强了额肌瓣的收缩力。适用于中，重度上睑下垂的治疗。

Modified treatment of blepharoptosis with the suspension of scalene frontal muscle flap

Objective　To reduce the damage of frontal muscle,guarantee the contractility of the for rntal muscle flap and better the therapeutic effects of the blepharoptosis.Methods　The incision of plastic operation of double eyelids is to cut the skin ,hypodermis and orbicular muscle of eye to separate directly the deep layer of frontal muscle upward from the orbicular muscle of eye and then reach the superficial layer of the frontal muscle at the juncture of the orbicular muscle and the orbicular muscle of eye with the separation about one and half to two centimeters above the eyebrow,to cut the both sides of the flap vertically with the ratio of one to three of the length of outer part and inner part.Results　Thirty-eight cases of blapharoptosis with fifty-nine eyes had been clinicary treated.Except one case failed to get good effect because of an injury in the left eye, thirty-seven cases with fifty-eight eyes showed satisfactory therapeutic effects. Conclusions　This therapeutic method can reduce the damage of outer blood vessel and nerves of the frontal muscle flap,improve the contractility of the flap and is suitable to the therapy of moderate and severe blepharoptosis.