CAJ | 학술논문

目的探讨上睑下垂手术失败后,再次手术矫正的方法及效果.方法在局部麻醉下采用额肌SMAS瓣悬吊术对28例32只眼术前检查额肌功能正常的复发性上睑下垂患者进行再次手术矫正,利用额肌SMAS瓣的提上睑作用,恢复上眼睑的正常功能.结果患者28例32只眼,手术均采用额肌SMAS瓣悬吊术,术后切口均一期愈合,随访6个月,睑缘弧度无畸形,双重睑自然,睁眼时上睑缘位于角膜上缘下1～2 mm或与健眼基本对称,无上睑下垂复发.结论上睑下垂手术失败后,眼睑局部手术造成的瘢痕粘连严重,再次手术矫正比较复杂,有一定难度,若患者术前检查额肌功能正常,采用额肌SMAS瓣悬吊术进行再次手术矫正,是一种可行的术式.
목적 탐토상검하수수술실패후,재차수술교정적방법급효과.방법 재국부마취하채용액기SMAS판현조술대28례32지안술전검사액기공능정상적복발성상검하수환자진행재차수술교정,이용액기SMAS판적제상검작용,회복상안검적정상공능.결과 환자28례32지안,수술균채용액기SMAS판현조술,술후절구균일기유합,수방6개월,검연호도무기형,쌍중검자연,정안시상검연위우각막상연하1～2 mm혹여건안기본대칭,무상검하수복발.결론 상검하수수술실패후,안검국부수술조성적반흔점련엄중,재차수술교정비교복잡,유일정난도,약환자술전검사액기공능정상,채용액기SMAS판현조술진행재차수술교정,시일충가행적술식.
Objective To explore ptosis surgery after failure,reoperation correction methods and effect.Methods Under local anesthesia,the frontal muscle SMAS flap suspension surgery were performed on 28 cases (32 eyes) with normal frontal muscle function on preoperative examination that had recurrent ptosis patients with surgical correction again,and made use of the frontal muscle flap of SMAS put on eyelid function and restored the normal function of the upper eyelid.Results All 28 cases (32 eyes) used frontal muscle SMAS flap suspension surgery,postoperative incision were primary healing,followed up for 6 months.Upper eyelid radian was no deformity,double eyelid nature,open eyes on when blepharitis located in corneal margin on the 1-2 mm or with health eye basic symmetric,no blepharoptosis recurrence happened.Conclusions Frontal muscle SMAS flap suspension surgery method is a kind of feasible operation for correction of ptosis surgery failure cases if the patients with normal frontal muscle function preoperatively.