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退行性眼瞼內翻之矯治新法－眼輪匝肌固定術
A New Approach in the Correction of Involutional Entropion by Orbicularis Muscle Fixation
摘要
本文報告以眼輪匝肌固定術(orbicularis muscle fixation)矯治退行性眼瞼內翻(involutional entropion)之手術方法及治療成果。此手術乃將下眼瞼板前眼輪匝肌(pretarsal orbicularis muscle)分離，再將下眼瞼退縮肌(lower lid retractors)、眼窩筋膜(orbital septum)、筋膜前眼輪匝肌(preseptal orbicularis muscle)及眼瞼板前眼輪匝肌以縫線固定。92病例116患者以此法矯治得到極佳之效果。此手術新法簡單易行，效果良好，外觀也佳。
關鍵字
無資料並列摘要
A new surgical technique for the correction of involutional entropion is described. The procedure involves a subciliary skin incision, fixation of a strip of dissected and displaced pretarsal orbicularis muscle, lower lid retractors and preseptal orbicularis muscle. As of Fehuray 1985, a total of 92 patients (116 eyelids) have been operated on using this technique with good result. The results of 76 patients (94 lids) and their follow-ups, ranging from 6 to 27 months, are reviewed. The procedure conforms to anatomical and physiological principles. It does not involve extensive dissection or manipulation. It is easy to perform, effective and cosmetically excellent.