目的:分析先天性上睑下垂复发的原因,指导再次手术方式的选择。方法:术前了解前次手术方式,分析失败原因,根据提上睑肌肌力结合病史确定再次手术方式。以提上睑肌肌力为依据,考虑前次手术的手术方式,对于提上睑肌肌力≤4mm者均采用额肌瓣悬吊术,对于提上睑肌肌力≥6mm者,均选择提上睑肌缩短术,对于提上睑肌肌力4～6mm之间者,若前次手术是利用额肌的手术,可行提上睑肌缩短术或额肌瓣悬吊术,我们采用了额肌瓣悬吊术。结果:患者26例30眼术眼睑缘弧度无畸形,双重睑自然,上睑缘位于上方角膜缘下1～2mm,或与健眼基本对称。结论:复发性先天性上睑下垂再次手术要根据提上睑肌肌力结合病史确定再次手术方式。

AIM:To analyze the causes of recurrence congenital ptosis and guide the choice of surgical procedure again.METHODS:Previous surgical procedures before surgery was understood, reasons for failure was analyzed, and according to levator muscle strength of upper eyelid combined with medical history, surgical method was re-established. Based on the levator muscle strength, considering the previous surgical operations, for the levator muscle strength ≤4mm, frontalis flap suspension was introduced; for the levator muscle strength ≥6mm, levator shortening was introduced; for the levator muscle strength between 4-6mm, if they used frontalis in previous surgery, levator shortening and fromtal muscle flap suspension might be introduced. We have used fromtal muscle flap suspension.RESULTS:A total of 26 cases 30 eyes patients had no eyelid margin arc deformity,natural double eyelid,the upper palpebral margin located 1-2mm down upper corneal margin, or symmetric with the health eye.CONCLUSION: Recurrent congenital ptosis resurgery was re-established with surgical method according to levator muscle strength combined with medical history.

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