下睑缩短联合内眦部睑缘缝合矫治麻痹性下睑

谢敏羊薇唐晨朱晓虹

目的探讨下睑缩短联合内眦部睑缘缝合治疗麻痹性下睑外翻的疗效?方法对9例(9只眼)面瘫导致的麻痹性下睑外翻经药物及针灸治疗1年以上无效者,采用下睑经典眼袋切口,做下睑中外1/3楔形睑板切除联合上下泪小点鼻侧部分睑缘缝合,使下睑缘位置正常,睑外翻得以矫正?

结果随访6~41个月,9例患者下睑外翻均得到矫正,无并发症发生?结论下睑缩短联合内眦部睑缘缝合矫治麻痹性下睑外翻疗效良好?关键词下睑缩短;睑缘缝合;麻痹性下睑外翻TreatmentofparalyticectropionwithlowereyelidshorteningandnasaltarsorrhaphyXIEMin,YANGWei,TANGChen,ZHUXiao-hong.DepartmentofOphthalmology,People’sHospitalofDeyang,Deyang,Sichuan,ChinaObjectiveToinvestigatetheeffectoflowereyelidshorteningandanasaltarsorrhaphyforthetreatmentofparalyticectropion.MethodsNinepatientswithparalyticectropionduetofacioplegiaandhadfailedmedicalandacupuncturaltherapieswereenrolledinthisstudy.Withanincisiononlowereyelidbag,awedgeresectionwasmadeonthetarsalplateatone-thirdpointfromthetemporalend.Nasaltarsorrhaphyofthepunctawasalsomade.ResultsDuringthefollow-upvisitsinthefollowing6to41months,therewere9caseswere







































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