改良扇形额肌腱膜瓣悬吊术治疗重度先天性上睑下垂

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。

Clinical discussion of Fan-shaped frontal muscle aponeurosis flap suspension for severe congenital ptosis

Objective To investigate the operation method and effect of the improved fan-shaped frontal muscle aponeurosis flap suspension for severe congenitalptosis. Methods Using improved fan-shaped frontal muscle aponeurosis flap suspension to correct 30 severe congenital ptosis cases （52 eyes）, 18 of them were male （both eyes 15 cases, were female （both eyes 7 cases, single eye 3 cases）, 12 of them single eye 5 cases）. All of these patients were observed 6 to 12 months after surgery. Results Fourty eyes had good corrected results, seven eyes rectified just, five eyes under-corrected, none of them had over-corrected. Conclusion The improved fan -shaped frontal muscle aponeurosis flap suspension for severe congenital ptosis retain the blood supply and nerve innervation of the frontal muscle, also it keep the enough thrength for eyelid opening, and it is easy to perform, with slight injury, fewer complications, physiologically filling the anatomic demands.