Therapeutic effect of modified frontal muscle flap transfer with facial nerve function fully preserved in the correction of severe blepharoptosis
10.3760/cma.j.issn.1671-0290.2020.02.013
- VernacularTitle:保留面神经功能的额肌瓣转移术在重度上睑下垂患者的治疗效果
- Author:
Bingqing WANG
1
;
Gang SUN
;
Lian XUE
Author Information
1. 中国医学科学院整形外科医院外耳再造二中心，北京 100144
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2020;26(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the therapeutic effect of modified frontal muscle flap with facial nerve function preserved in the treatment of severe blepharoptosis, and to observe its therapeutic effect and recurrence rate.Methods:From May 2005 to may 2019, 17 patients (26 eyes) with severe blepharoptosis were treated with modified triangular frontalis muscle flap. The curative effect and satisfaction were evaluated.Results:After 6 months to 10 years＇ follow-up, the patients with blepharoptosis were well corrected, and the function of opening and closing was restored to normal. 24 eyes in 26 eyes were cured, and 2 eyes were basically cured. No recurrence or retraction of the upper eyelid occurred. 14 patients were very satisfied with the treatment effect, 2 were basically satisfied, 1 was not satisfied.Conclusions:The transfer of the triangle frontalis flap in the upper part of the eyelid can correct the blepharoptosis effectively, and keep the function of facial nerve fully, then avoid the paralysis of frontalis flap caused by nerve conduction obstacle, which can reduce the recurrence rate.
