摘要
目的:探讨全麻下学龄前儿童先天性上睑下垂行提上睑肌缩短术的可行性,并对其疗效进行评价。方法:本组均采用提上睑肌缩短术,前后路联合,以前路为主。结果:术后双眼平视时眉弓基本对称。无提眉现象,视轴全暴露,闭眼时角膜不暴露,单眼手术的病例,睑裂开大时与对侧眼基本一致。结论:学龄前儿童同样可以在全麻下用提上睑肌缩短术的方法来矫正上睑下垂。建议应测量通过瞳孔中央垂直线上下睑缘间的距离,相差≤1～2mm或双睑裂≥6mm为成功指标。
Objective To discuss the possibility and to assess the effect that recession of levator palpebrae superioris are operated in congenital blepharoptosis of pre-school children in general anesthesia. Methods recession of levator palpebrae superioris were carried out by the method of combining anterior pathway with posterior one, whereas the former was leading. Results The bilateral superciliary arches were symmetric after operation, and there was not the condition of eyebrows raising. The optic axis was exposed completely, while corneas were covered when eyelids closed. The palphebral fissures of unilateral operations were similar to those of contralateral ones. Conclusion Blepharoptosis of pre-school children can be corrected by recession of levator palpebrae superioris in general anesthesia. We suggest to measure the distance between upper and lower palpebral margin across central pupils. It is the successful signature that the bilateral variance is less than 2mm, or both palpebral fissures are more than 6 mm.
出处
《中国美容医学》
CAS
2004年第6期695-697,i005,共4页
Chinese Journal of Aesthetic Medicine
关键词
学龄前儿童
上睑下垂
全麻
提上睑肌缩短
pre-school-aged children
blepharoptosis
general anesthesia
shortening of levator palpebrae superioris
