额肌瓣推进后的自发眨眼运动学。

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Naiara F Xavier, Denny M Garcia, Antonio Augusto V Cruz
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引用次数: 0

摘要

目的:测量额肌瓣推进术矫正眼睑外翻后的自发眨眼指标:方法:采用视频系统测量 24 例眼睑外翻矫正术后自发眨眼的幅度和速度。同时还测量了无眼睑疾病的对照组。另一项研究曾用同样的方法收集了 13 个使用自体筋膜进行额肌吊带手术的眼睑的数据,并将其用于对比。数字图像用于测量上缘反射距离,以及在轻轻闭合睑裂时是否存在滞后性眼睑下垂。表层角膜炎通过角膜生物显微镜进行评估:结果:对照组患者自发眨眼的平均幅度为 6.3 毫米,额肌瓣患者为 2.6 毫米,筋膜吊带组为 2.1 毫米。对照组的平均眨眼速度为 133.8 毫米/秒,额肌瓣术后为 39.0 毫米/秒(3.7 标准误差),额肌筋膜悬吊术患者为 36.3 毫米/秒。就这两个参数而言,手术组之间没有统计学差异,但与对照组相比则显著降低。眼睑下垂和角膜炎与手术方法之间没有明显关联:结论:使用额肌瓣推进技术或使用自体筋膜额肌吊带技术进行手术的双眼皮患者的眨眼指标没有差异。两种手术在眼睑下垂和角膜炎的发生率上也没有差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spontaneous Blinking Kinematics After Frontalis Muscle Flap Advancement.

Purpose: To measure the spontaneous blinking metrics after blepharoptosis correction with frontalis muscle flap advancement.

Methods: A video system was employed to measure the amplitude and velocity of spontaneous blinking of 24 eyelids after the frontalis muscle flap surgery for blepharoptosis correction. A control group with no eyelid disorders was also measured. The data of 13 eyelids who had frontalis slings with autogenous fascia, which were previously collected with the same method in another study, were used for comparison. Digital images were used to measure the superior margin reflex distance and the presence of lagophthalmos during a gentle closure of the palpebral fissure. Superficial keratitis was assessed by corneal biomicroscopy.

Results: The mean amplitude of spontaneous blinking was 6.3 mm in controls, 2.6 mm in the frontalis flap patients, and 2.1 mm in the fascia sling group. The mean blink velocity was 133.8 mm/second in controls, 39.0 mm/second (3.7 standard error) after the frontalis flap, and 36.3 mm/second in patients with frontalis sling with fascia. For these 2 parameters, there was no statistical difference between the surgical groups, but a significant reduction when compared with the control group. No significant association was found between lagophthalmos and keratitis and the surgical procedure.

Conclusions: There is no difference between the blinking metrics of eyelids operated using the frontalis muscle flap advancement technique or frontalis sling with autogenous fascia. The presence of lagophthalmos and keratitis also does not differ between the 2 procedures.

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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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