To explore a beautiful method of using orbital septum aponeurosis flap and frontal muscle flap to correct serious blepharoptosis
FU Fu-ren, XIE Yi-de
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (2) : 217-219.
To explore a beautiful method of using orbital septum aponeurosis flap and frontal muscle flap to correct serious blepharoptosis
Objective To explore a beautiful method of treating serious blepharoptosis. Methods To form the frontal muscle flap and orbital septum aponeurosis flap, the frontal muscle flap was overlapped between levator palpebrae superioris and orbital septum aponeurosis flap; two flaps and levator palpebrae superioris were overlapped and sutured in order to suspend the upper eyelid to correct serious blepharoptosis.Results 12 cases with 12 eyes were treated with this method. Postoperative follow-up for 6 months to 18 months showed that the efficacy of 10 cases was satisfying, symptom in one case improved ,and one case needed a second reconstruction. Conclusion Through this method for correction of serious recurrent blepharoptosis by suspension offrontal muscle flap overlapped with levator palpebrae superioris and orbital septum aponeurosis flap, a better function and cosmetic result could be achieved. The eyelid system that it forms is very consonant with the biological structures.
Serious blepharoptosis / Frontal muscle flap / Levator palpebrae superioris / Orbital septum aponeurosis flap / Beauty
[1] 王炜. 整形外科学[M]. 杭州: 浙江科学技术出版社, 1999: 940-950.
[2] 李凤鸣. 眼科全书[M]. 北京: 人民卫生出版社, 1999:1025.
[3] Stein A . Kelly JP. Weiss AH. Congenital eyelid ptosis: onset and of amblyopia, associations with systemic disorders, and treatment outcomes[J]. J Pediatr, 2014,165(4): 820-824.
[4] Nuhoglu F, Ozdemir FE, Karademir Z, et al. Levator function in blepharoptosissurgery[J]. Facial Plast Surg, 2013,29:71-75.
[5] Park DH, Jung JM, Song CH. Anthropometric analysis of levator muscle function[J]. Plast Reconstr Surg, 2008,121:1181-1187.
[6] 宋遵礼,伍成奇,韩岩. 眶隔筋膜瓣与额肌瓦合固定矫正重度下垂[J].中国美容医学, 2011, 20(11):1673-1674.
[7] 林茂昌. 上睑下垂术式选择及其评价[J]. 中国美容医学, 2006, 15(1):46-47.
[8] 杨群, 汪希. 提上睑肌缩短术在治疗重度先天性上睑下垂中的应用[J]. 实用美容整形外科杂志, 2002,13(6):304-305.
[9] 赵英晓. 提上睑肌与额肌吻合术治疗重度上睑下垂[J]. 临床医药实践杂志, 2008, 17(8): 823-824.
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