网织带额肌悬吊术一期矫正儿童小睑裂综合征

One-stage repair of congenital blepharophimosis syndrome with the frontalis suspension using dacron mesh sling

摘要:

目的:探讨网织带额肌悬吊术联合内眦韧带缩短、内眦成型术一期矫治儿童小睑裂综合征的手术效果。方法:对14例小睑裂综合征患儿行网织带额肌悬吊术联合内眦韧带缩短、Y-V内眦成型术,术后随访1～24mo。结果:小睑裂综合征患儿14例术后垂直睑裂5～9(平均6.67)mm;水平睑裂25～30(平均28.92)mm,双眼内眦距离30～35(平均30.57)mm。矫治效果满意,无严重并发症发生。结论:网织带额肌悬吊术联合内眦韧带缩短、内眦成型术一期矫治儿童小睑裂综合征是可行的。

Abstract:

AIM:To explore the one-stage repair effect of congenital blepharophimosis syndrome by combining Y-V medial canthoplasty with the frontalis suspension using dacron mesh sling . METHODS:From 2004 to 2009, an one-stage procedure combining blepharoptosis correction with medial canthoplasty was adopted in 14 patients with congenital blepharophimosis syndrome (5 male, 9 female; aged from 4 to 14). Bilateral severe blepharoptosis and epicanthus inversus were found in all the patients, 12 (86%)patients had flat dorsum nasi. The vertical length of the palpebral fissure was 1 to 5mm, horizontal length 18 to 25mm, and the intercanthal distance was 38 to 43mm. RESULTS:In the follow-up periods ranged from 1 to 24 mo, in all 14 cases, the vertical length of the palpebral fissure was 5 to 9 mm, horizontal length was 25 to 30mm, and the intercanthal distance was 30 to 35mm. The appearance of their bilateral eyelids was satisfying. CONCLUSION:The modified one-stage procedure combining Y-V medial canthoplasty with the frontalis suspension using dacron mesh sling can achieve favorable outcomes for patients with congenital blepharophimosis syndrome.