Clinical effects of combined fascia sheath suspension and frontal muscle flap suspension in correction of severe congenital ptosis
10.3760/cma.j.issn.1671-0290.2017.02.011
- VernacularTitle:联合筋膜鞘悬吊术与额肌瓣悬吊术矫正重度上睑下垂的临床效果
- Author:
Junhu SHI
;
Shan LIU
;
Hongbin ZHANG
;
Ping BAI
;
Lihua SONG
- Keywords:
Severe congenital ptosis;
Combined fascia sheath suspension;
Frontal muscle flap suspension;
Effective rate;
Satisfaction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2017;23(2):107-110
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the therapeutic effect of combined fascia sheath suspension and frontal muscle flap suspension in the treatment of congenital severe congenital ptosis.Methods 46 cases (58 eyes) with congenital severe upper eyelid prolapse who were treated from March 2015 to March 2016 in Eye Hospital of Hebei Province were selected.The patients were divided into two groups:combined fascial sheath suspension group and frontalis muscle flap suspension.Comparisons of postoperative patients with eyelid height,eyelid radian,corneal exposure with eyes closed,eyelid activity,complication of the situation were carried out.And patient satisfaction survey was conducted.Results The effective rate of combined fascial sheath suspension group was 93.10％,the complication rate was 6.9％,and the patient satisfaction rate was 91.22±0.37,significantly better than the frontal muscle flap suspension group of patients (75.86 ％,24.14 ％ and 75.05 ± 0.28,respectively).The time of closure of the eyelid was shortened,the complications were less,and the eyelid had better activity.The difference between the two groups was statistically significant (P＜0.05).Conclusions Combined fascia sheath for congenital severe upper eyelid droop is significant,with fewer complications and a higher rate of satisfaction,which is worth clinical promotion.
