Modified suture suspension by annular ligature the frontalis muscle to correct severe congenital blepharoptosis in very young patients
10.3760/cma.j.issn.1009-4598.2019.06.008
- VernacularTitle: 额肌环扎缝线悬吊法治疗低龄幼儿先天性重度上睑下垂
- Author:
Yuanyuan LIU
1
;
Zhaohui ZHAI
2
;
Shanshan REN
1
;
Yuchang YANG
1
;
Shenxing TAN
1
;
Xiaosheng LU
1
Author Information
1. Department of Plastic Surgery the Affiliated Hospital of Weifang Medical University, Weifang 261041, China
2. Plastic Surgery Hospital of Weifang Medical University, Weifang 261042, China
- Publication Type:Journal Article
- Keywords:
Congenital blepharoptosis;
Frontalis muscular flap suspension;
Young patient
- From:
Chinese Journal of Plastic Surgery
2019;35(6):555-558
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the modified suture suspension by annular ligaturing the frontalis muscle to treat severe congenital blepharoptosis in children (age≤3).
Methods:From October 2016 to October 2017, 11 patients (16 eyes) with severe blepharoptosis were treated using the modified suture suspension in the Affiliated Hospital of Weifang Medical University. There were 7 males and 4 females, aged from 1 to 3 years old, with the average of 26.3 months. Three suture lines were used in three directions respectively. One end was fixed to the upper edge of the tarsus, the other end was fixed to the frontalis muscle by annular ligation. The operation effect and complications were evaluated 1 week and 6 months after the operation.
Results:All the incisions healed well. Hypophasis was observed in 1 eye. The exposed palpebral fissure was less than 3 mm when the eye was closed. No corneal exposure was observed in other cases. One week after surgery, the blepharoptosis of 5 patients were fully corrected (6 eyes, 37.5 %). Blepharoptosis in 5 patients were basically corrected (9 eyes, 56.2 %). One patients was over corrected (1 eyes, 6.3%). Six months after surgery, the blepharoptosis of 5 patients were fully corrected (5 eyes, 31.2 %). Blepharoptosis in 5 patients were basically corrected (9 eyes, 56.3%). However, the blepharoptosis of 1 patient was under corrected (2 eyes, 12.5%).
Conclusions:This modified suture suspension by annular ligature the frontalis muscle has the advantages of simple operation, low cost, stable effect, small wound, and satisfactory clinical effect.
