Frontalis muscle flap combined with check ligament of double suspension corrects severe blepharoptosis
10.3760/cma.j.cn114453-20191013-00306
- VernacularTitle:额肌瓣联合check韧带双重悬吊术矫正重度上睑下垂
- Author:
Hao DING
1
;
Yu ZHAO
;
Lin ZHANG
;
Xiaojing LI
;
Fei ZHU
;
Banghe WANG
Author Information
1. 安徽医科大学第一附属医院美容整形外科，合肥 230022
- Keywords:
Blepharoptosis;
Frontalis muscle flap;
Check ligament
- From:
Chinese Journal of Plastic Surgery
2020;36(5):536-539
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of frontalis muscle flap combined with check ligament double suspension in the treatment of severe blepharoptosis.Methods:13 patients(16 eyes) who were almost zero muscle strength with severe blepharoptosis, was treated with double eyelid incision. Check ligament was isolated from the superior conjunctival fornix which was between the superior rectus muscle and the levator eyelid muscle. Then the upper edge of the tarsal plate was fastened so that the upper eyelid margin can be raised by about 2-3 mm. The forehead muscle flaps formed by the post separation of septa orbitale were sutured and fixed at the lower end of the check ligament, and the height of the upper eyelid was increased dynamically to about 1-2 mm above the cornea.And then the effect of this operation was evaluated and the efficiency was calculated after operation.Results:There were 13 cases which include 16 eyes in our group. Stitches were taken out 7 days after the operations, and the incisions healed well. All the upper eyelid margins were located at about 1-2 mm above the cornea when they opened the eyes. These eyes were all accompanied by different degrees of hypophasis when they closed. All of the patients in our group were followed up effectively for 4 to 12 months. Twelve eyes were greatly corrected. Three eyes were moderately corrected. And only one eyes were corrected insufficiently. The overall effective correction rate was about 93.75%. The correction effect was satisfactory. No complication, such as exposed keratitis, ectropion and conjunctival prolapse were found in all cases.Conclusions:The double suspension of frontalis muscle flap combined with check ligament can effectively increase the height of upper eyelid margin, which is beneficial for the accurate rectification effect, stable long-term effect and little complications. It is suitable for the correction of severe upper eyelid sag with extremely weak muscle strength of upper eyelid lifter.
