传统前徙步骤附加技术矫正重度上睑下垂

14. Postorbicularis fascia.
15. Levator aponeurosis.
16. Superior conjunctival fornix.
17. Müller's muscle.
18.Conjunctiva.
19. Superior tarsus.
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20. Pretarsal orbicularis.
Boston Wilmington Shanghai
Plastic and Reconstructive Surgery April 2014 Volume 133, Number 4
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Background
To create a more physiologic（生理性的） eyelid opening in patients with severe blepharoptosis (睑下垂),
the authors used lamina propria mucosa of conjunctiva（结膜的睑板固 有粘膜）, which continues to the check ligament of the superior fornix (上穹窿的check韧带),
in addition to levator aponeurosis and Müller’s muscle as a composite flap.
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1. Superior rectus muscle.
2. Levator muscle.
3. Conjoining of SRM
with levator muscle sheath.
4. Tenon's capsule.
5. Suspensory ligament of superior fo
Twenty-one (42 percent) of those patients also underwent split V-W epicanthoplasty and plication of the medial canthal tendon for epicanthal folds with associated telecanthus.
Adjunct来自百度文库ve Techniques to Traditional Advancement Procedures for treating Severe Blepharoptosis
Shi Heng BRAVOU Aesthetic Plastic Hospital
NOTICE: Proprietary and Confidential The following material was used by Accdon LLC during an oral presentation and discussion. Without the accompanying oral comments, the text is incomplete as a record of the presentation. This document contains information and methodology descriptions intended solely for the use of client personnel. No part of it may be circulated, quoted, or reproduced for distribution outside this client without the prior written approval of Accdon LLC. Copyright © 2013 Accdon LLC, All Rights Reserved
▪ 腱膜前脂肪 Pre-aponeurotic fat
▪ 眶隔前脂肪 Pre-septal fat
▪ 睑板前脂肪 Pretarsal fat
▪ 眼轮匝肌下脂肪 retro-orbicularis oculi fat (ROOF)
▪
sub-orbicularis oculi fat (SOOF)
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Degree of ptosis and levator function were measured preoperatively and postoperatively.
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Results
Complete or near-complete correction of ptosis (degree of ptosis,<1 mm) was achieved in 54 eyelids (63.5 percent) and mild residual ptosis轻度残余 下垂 (degree of ptosis, 1 to 2 mm) was observed in 22 eyelids (25.9 percent) in postoperative follow-up after 6 months.
In patients with epicanthal folds（内眦赘皮） with associated telecanthus（内眦间距过大）, the authors also performed epicanthoplasty with medial canthal tendon shortening.
6. Whitnall's ligament.
7. Frontalismuscle.
8. Brow fat pad.
9. Orbital orbicularis.
10. Arcus marginalis.
11. Orbital septum.
12. Preaponeurotic fat pad.
13. Preseptal orbicularis.
Methods
Fifty blepharoptosis patients (85 eyelids) with a degree of ptosis of greater than 4 mm underwent the advancement technique using the levator aponeurosis–Müller’s muscle–lamina propria mucosa of conjunctiva as a composite flap.