CAJ | 학술논문

目的探讨一期采用上睑提肌-额肌吻合联合L形内眦成形术治疗轻度小睑裂综合征的临床疗效.方法回顾性分析采用上睑提肌-额肌瓣吻合联合L形内眦成形术治疗轻度小睑裂综合征患者22例44只眼,术后随访6～12月(平均10月).结果术后所有患者的重度上睑下垂、逆向内眦赘皮、下睑内翻均得到矫正,术后睑裂长度和内眦间距较术前明显改善,内眦部无明显瘢痕形成,眼部外观满意,未发生睑内翻及暴露性角膜炎等并发症.结论上睑提肌-额肌吻合联合L形内眦成形术治疗轻度小睑裂综合征手术简单经济、疗效确切,值得临床推广.
목적 탐토일기채용상검제기-액기문합연합L형내자성형술치료경도소검렬종합정적림상료효.방법 회고성분석채용상검제기-액기판문합연합L형내자성형술치료경도소검렬종합정환자22례44지안,술후수방6～12월(평균10월).결과 술후소유환자적중도상검하수、역향내자췌피、하검내번균득도교정,술후검렬장도화내자간거교술전명현개선,내자부무명현반흔형성,안부외관만의,미발생검내번급폭로성각막염등병발증.결론 상검제기-액기문합연합L형내자성형술치료경도소검렬종합정수술간단경제、료효학절,치득림상추엄.
Objective To evaluate the clinical efficiocy of one-stage technique of combining levator palpebrae superioris-frontal muscle anastomossis with L shaped medial canthoplasty on the management of mild blepharophimosis syndrome.Methods This retrospective study was undertaken with 22 mild blepharophimosis syndrome patients who underwent one-stage correction.All patients were operated with levator palpebrae superioris-frontal muscle anastomossis,combined with L shaped medial canthoplasty.The follow up periods of postoperative ranged from 6 to 12 months(mean=10 months).Results The bilateral ptosis,inversus epicanthus and blepharelosis were corrected perfectly.The horizontal palpebral fissure length and inner intercanthal distance showed significant improvement after surgery statistically(P＜0.001).Neither exposing keratitis nor blepharelosis occurred during the follow up periods.Scarring in the medial canthal region was not obvious without close inspection.All patients were satisfied with their appearances.Conclusions The modified one-stage technique of combining levator palpebrae superioris-frontal muscle anastomossis with L shaped medial canthoplasty can achieve favorable outcomes to the patients with mild blepharophimosis syndrome.