CAJ | 학술논문

目的探讨翼状韧带悬吊矫正重度先天性上睑下垂的临床效果.方法 2010年1～11月,应用翼状韧带悬吊法治疗先天性重度上睑下垂患者15例15只眼,按照切开重睑术术式,打开眶隔,在距睑板上缘5 mm处剪断上睑提肌腱膜进入到上睑提肌下层,向结膜上穹窿分离,在上直肌前1/3和上睑提肌之间找到翼状韧带,用3-0丝线同上睑提肌缝合于睑板上缘,悬吊矫正上睑下垂,缝合形成重睑.结果经过3～11个月随访,15只眼矫正良好,眼裂均在15～30 d基本闭合,无其他并发症发生,重睑弧度形态自然,外观满意.结论翼状韧带悬吊治疗重度先天性上睑下垂疗效可靠,用翼状韧带代替上睑提肌,生理运动方向一致,术后眼睑外形动态与静态均较自然.
목적 탐토익상인대현조교정중도선천성상검하수적림상효과.방법 2010년1～11월,응용익상인대현조법치료선천성중도상검하수환자15례15지안,안조절개중검술술식,타개광격,재거검판상연5 mm처전단상검제기건막진입도상검제기하층,향결막상궁륭분리,재상직기전1/3화상검제기지간조도익상인대,용3-0사선동상검제기봉합우검판상연,현조교정상검하수,봉합형성중검.결과 경과3～11개월수방,15지안교정량호,안렬균재15～30 d기본폐합,무기타병발증발생,중검호도형태자연,외관만의.결론 익상인대현조치료중도선천성상검하수료효가고,용익상인대대체상검제기,생리운동방향일치,술후안검외형동태여정태균교자연.
Objective To evaluate the clinical result of check ligament suspension for correction of congenital severe blepharoptosis. Methods Since Jan. 2010 to Nov. 2010, 15 eyes in 15 cases with congenital severe blepharoptosis were treated with the check ligament suspension. Palpebralis aponeurosis was exposured by opening fascia palpebralis during blepharoplasty. Palpebralis aponeurosis was cut off about 5 mm above the tarsus. The check ligament was seen in the intermuscular space between the segment of levator and the anterior one third of superior rectus attached to the conjunctival fornix. Congenital blepharoptosis could be corrected by suturing the check ligament and levator palpebrae superior to the upper margin of tarsal plate with 3-0 silk thread. Double eyelid plasty was carried out in the end. Results The follow-up period was 3-11 months with good cosmetic result. All the cases could close their eyes in 15 to 30 days with no complication. Conclusions In conclusion, this technique is quite successful in raising the level of the upper eyelid in severe congenital blepharoptosis. The check ligament moves in a similar direction as the natural movement of levator muscle, so both the postoperative static and dynamic appearance of the upper lid is more natural.