组织工程与重建外科杂志2025，Vol.21Issue(5)：425-429,5.DOI:10.3969/j.issn.1673-0364.2025.05.002
浮桥技术联合睑板切除术矫正重度上睑下垂
Correction of severe blepharoptosis using tarsectomy combined with bridge technique
沈一蕊 1王立仟 2余文捷 1金锐 1杨军 1刘菲1
作者信息
- 1. 200011 上海市 上海交通大学医学院附属第九人民医院整复外科
- 2. 665600 云南省普洱市 沧拉祜族自治县第一人民医院整形外科
- 折叠
摘要
Abstract
Objective To propose and verify the effectiveness of a new surgical method for correcting severe blepharoptosis that integrates both functional and aesthetic rehabilitation.Methods A total of 115 patients(149 eyes)with severe blepharoptosis were treated using the bridge technique(physiological levator aponeurosis complex repositioning)combined with tarsectomy,and were followed up to evaluate the postoperative outcomes and complications.During the operation,after separating the levator aponeurosis-Müller muscle complex from the tarsus,part of the complex and tarsus were resected,and a three-layer suture technique was used to physiologically reconstruct the levator palpebrae superioris motor system.Postoperative evaluation included the margin reflex distance 1(MRD1),the position and morphology of the upper eyelid,the symmetry of double eyelids,and the incidence of complications.Results Among the 149 eyes,except for 5 eyes,all achieved good or moderate results,with the eyelids lifted to a normal level and natural appearance.Some cases showed incomplete eyelid closure in the early postoperative period,and no exposure keratitis occurred.Conclusion The bridge technique combined with tarsectomy can be effectively used for the correction of severe blepharoptosis,achieving satisfactory cosmetic and functional reconstruction.关键词
重度上睑下垂/上睑提肌-Müller肌复合体/睑板切除术/浮桥技术Key words
Severe blepharoptosis/Levator aponeurosis-Müller muscle complex/Tarsectomy/Bridge technique分类
医药卫生引用本文复制引用
沈一蕊,王立仟,余文捷,金锐,杨军,刘菲..浮桥技术联合睑板切除术矫正重度上睑下垂[J].组织工程与重建外科杂志,2025,21(5):425-429,5.
