SMAS筋膜悬吊联合外眦固定术治疗麻痹性睑外翻

SMAS筋膜悬吊联合外眦固定术治疗麻痹性睑外翻
程建霞;田蕊;杜园园
【期刊名称】《中国美容医学》
【年(卷),期】2015(24)3
【摘要】目的：探寻一种针对麻痹性睑外翻既能避免传统手术创伤较大及对于部分面部肌肉僵硬、变性的面神经麻痹患者疗效欠佳的问题，又能有效矫正睑外翻而达良好治疗效果的术式。

方法：选取2011年9月-2014年1月在我院就诊的5例（5眼）经保守治疗无效麻痹性睑外翻患者，均采用面部浅表肌肉腱膜（superficial muscle aponeurosis system，SMAS）悬吊联合外眦固定术SMAS筋膜悬吊术进行矫正。

结果：5例患者下睑外翻全部矫正，且睑裂闭合不全明显改善，暴露性角膜炎治愈，随访3～6个月无复发。

结论：采用SMAS筋膜悬吊术联合外眦固定术治疗麻痹性睑外翻不仅较传统手术方式创伤小，而且明显提高了患者的治愈率，复发率低，面部外观改善良好，患者满意度较
高。

%Objective The paralytic ectropion that is caused by orbicularis oculi muscle paralysis is derived from facial nerve damage. Then the exposure keratitis and corneal ulcer will be occurred in some serious cases. There are several traditional operation have been applied in clinical, but look for small gains rather than big changes. Particularly for some patients with tissue degeneration, the results are mixed. So the improved technique that is SMAS suspension and lateral canthus fixation is more effective for this refractory disease. Methods Data from 5 eyes with Paralytic ectropion from facial nerve damage between 2011 and 2014 were analyzed in this study.
These patients were treated with SMAS fascia suspension and lateral canthus fixation. Results All cases were followed up 3 months to 6 months. The excellent effects were gotten in all cases.This innovated operation not only brought patients a release from ectropion,but the lagophthalmus and exposure keratitis have been cured completely. Conclusion The innovated technique is a simple and safe method for the treatment of paralytic ectropion. It is not only the reoccurrence rate and complications that are reduced,but the degree of satisfaction is served to a large extent.
【总页数】3页(P16-18)
【作者】程建霞;田蕊;杜园园
【作者单位】吉林大学第二临床医院眼眶病眼整形科吉林长春 130000;吉林大学第二临床医院眼眶病眼整形科吉林长春 130000;吉林大学第二临床医院眼眶病眼整形科吉林长春 130000
【正文语种】中文
【中图分类】R777.1
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