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目的探讨先天性眼睑综合征的整形疗效。方法对21例2~14岁患儿,一期应用改良的Y-V矫正法及部分行外眦开大术,矫正内眦赘皮内眦宽距及小睑裂。二期应用额肌瓣悬吊术矫正上睑下垂。结果随访3月~3年,睑裂长由术前的20.75±1.75mm达到术后的27.25±0.75mm,内眦间距由术前的44.5±4.5mm缩短到术后的34.5±2.5mm,睑裂高度≥6mm,上睑下垂矫正,外观满意。结论对先天性眼睑综合征应用此分期手术方法,术式简单,整形效果满意。
Objective To investigate the plastic effect of congenital eyelid syndrome. Methods Twenty-one children aged 2 to 14 years old were enrolled in this study. One was treated with modified Y-V orthodontic method and some with external excision technique to correct the wide inner distance and palpebral palpebral fissure of the epicanthus. Secondary application of muscle flap suspension to correct ptosis. Results The follow-up ranged from 3 months to 3 years. The palpebral fissure length reached 27.25 ± 0.75 mm postoperatively from preoperative 20.75 ± 1.75 mm. The internal fossa distance shortened from 44.5 ± 4.5 mm preoperatively to After 34.5 ± 2.5mm, palpebral fissure height ≥ 6mm, ptosis corrected, the appearance of satisfaction. Conclusion The application of this staging method for congenital eyelid syndrome has the advantages of simple operation and satisfactory plasticity.