梯形额肌瓣转移治疗上睑下垂

目的 提高上睑下垂的治疗效果，防止复发。方法 弧形切断额肌形成梯形额肌，经修剪成上窄下宽的梯形额肌瓣，经上睑眼轮匝肌下转移，使梯形额肌瓣下缘与睑板广泛接触并缝合。结果 16例24只眼，术后上睑下垂矫正满意，睑缘外形匀称，上睑闭合良好，无复发和并发症。结论 梯形额肌瓣转移，与睑板缝合牢固，有利于额肌瓣收缩上提眼睑，尤适用于中重度上睑下垂的治疗。

Transfer of modified ladder-shaped frontalis muscle flap for treatment of blepharoptosis

Objective To improve the therapeutic effects and to prevent the recurrence of the blepharoptosis. Methods The frontalis muscle was cut to form the ladder shaped frontalis muscle flaps, which was than were transferred under the orbicularis to touch the tarsus with its broad lower part perfectly. The flap was sutured with the tarsus directly. Results All blepharoptosis of twenty four eyes in sixteen patients were treated with excellent results in function and cosmetic appearance. The upper eyelids could be closed effectively. There were no any recurrence and complications in this group. Conclusions The transfer of the ladder shaped frontalis muscle flaps applied in this group benefits the moving of upper eyelid because of its effectiveness in contraction and stable suture with the tarsus. It is more suitable for the treatment of severe blepharoptosis.