《阔筋膜下睑悬吊术治疗面瘫兔眼的有效性》
胡健年译,著作权/版权归原作者/出版社所有。
(摘要)
Purpose.Toevaluateoffunctionalandcosmeticeffectivenessoflowereyelidslingtechniquewithfascialatagraftinpatientswithlagophthalmosduetofacialparalysis.MaterialandMethod.Tenpatientswithameanageof55.1±19.77yearswhounderwentlowereyelidslingsurgerywithafascialatagraftbetweenSeptemberandJanuarywereincludedinthisprospectivestudy.Preoperativelyandpostoperativelypatientswereevaluatedintermsofcornealepithelialdefects,Schirmer’stest,andtearbreak-uptime(TBUT).Cosmetically,verticaleyelidaperture,marginreflexdistances1and2(MRD1andMRD2)andscleralshowwereevaluatedpreoperativelyandpostoperatively.Results.Onepatienthadfacialparalysisontherightsidewhereastheother9patientshadfacialparalysisontheleftside.Preoperatively,3patientsweredetectedwithcornealulcer,whereas7patientsweredetectedwithpersistentcornealepithelialdefectslocalizedinthelowerhalfofthecornea.Inthe3patientswithpreoperativecornealulcer,
theulcerrecoveredwithcornealopacity,whereasinthe7patientswithpunctateepitheliopathy,postoperativecornealtransparencywasobtained.Discussion.Lowereyelidslingtechniquewithfascialatagraftisaneffectivetechniquefortherepositioningofthelowereyelidandpreventingthecorneal
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