Treatment of recurrent severe blepharoptosis after frontal muscle flap suspension and levator palpebrae superioris shortening with conjoint fascia sheath suspension

中华医学美学美容杂志 Pub Date : 2019-12-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.06.003

Chaohua Liu, D. Hao, W. Yao

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Abstract

Objective To investigate the clinical effect of conjoint fascial sheath (CFS) suspension to correct the complications caused by the frontal muscle flap suspension and levator palpebrae superioris shortening in the treatment of severe blepharoptosis. Methods From February 2017 to April 2018, 19 severe blepharoptosis patients (21 eyelids) were operated before by the frontal muscle flap suspension and levator plapebrae superioris shortening, and repaired through the technology of CFS suspension. Results There were 19 cases, 17 cases operated by CFS suspension showed a good appearance and basically symmetrical of two eyes, and the other 2 cases obtained satisfactory results though reoperation. There were no complications of exposure keratitis, ectropion and infection occurred. Meantime the effect was satisfactory according to the follow-up ranging from 3 months to 12 months. Conclusions The application of conjoint fascial sheath (CFS) suspension shows a promising procedure in the treatment of severe blepharoptosis caused by the frontal muscle flap suspension and levator palpebrae superioris shortening. Key words: Reconstructive surgical procedures; Conjoint fascial sheath; Recurrent severe blepharoptosis; Frontal muscle flap suspension; Levator palpebrae superioris shortening

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联合筋膜鞘悬吊术治疗额肌瓣悬吊提上睑缩短术后复发性重度上睑下垂

目的探讨联合筋膜鞘悬吊术（CFS）矫正额肌瓣悬吊术和上提肌缩短术治疗重度上睑下垂并发症的临床效果。方法2017年2月至2018年4月，对19例重度上睑下垂患者（21只眼睑）进行额肌瓣悬吊和提上睑缩短术，并采用CFS悬吊技术进行修复。结果CFS悬吊术19例，其中17例外观良好，双眼基本对称，2例再次手术效果满意。没有发生暴露性角膜炎、外翻和感染的并发症。随访3个月～12个月，效果满意。结论应用联合筋膜鞘悬吊术治疗额肌瓣悬吊术和提上睑肌缩短术引起的重度上睑下垂是一种很有前途的方法。关键词：重建外科手术；结膜筋膜鞘；复发性重度上睑下垂；额肌瓣悬吊术；上睑提肌缩短

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来源期刊

中华医学美学美容杂志

自引率

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发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.