- 期刊
Using Deep Temporal Fascia Graft Spacers for Treating Upper Eyelid Retraction
利用深顳筋膜瓣矯治上眼瞼後縮
摘要
背景：上眼瞼後縮常常是因為甲狀腺亢進，先前眼皮手術或外傷所造成。它通常會伴隨有乾眼症候群，角膜不適等症狀，更會造成患者有不滿意的外觀表現。此篇文章我們使用深顳筋膜瓣當成間隔物來治療上眼瞼後縮的問題。材料及方法：我們自2008至2012年回溯性地分析本院由單一術者所治療的11名患者（共15個上眼皮）。所有後縮的上眼瞼都距離理想的正常位置有1到4mm不等的距離。我們均採用深顳筋膜瓣當成間隔物來治療此問題。兩名有接受二次手術的患者特別被提出來分析。結果：在所有的11名患者（共15個上眼皮）中，其中8位在術後有令人滿意的表現，然而其中3位有令人不滿意的外觀（2個上眼皮過度矯正，1個上眼皮矯正不足）。3位不滿意的患者中，有2位透過早期的修正手術得到改善，進而擁有正常的上眼瞼位置。並沒有其他的併發症發生，也沒有筋膜瓣被吸收，外露，感染的問題產生。整體的術後不對稱率是27% (3/11)。整體的再次手術率是13% (2/15)。結論：利用自體的深顳筋膜瓣來矯治上眼瞼後縮是有效且安全的方法。這個技術對醫師來說是一個簡單且可再現的方法，可用於治療上眼瞼後縮。
關鍵字
無資料並列摘要
Background: Upper eyelid retraction may occur as a condition of hyperthyroidism, previous surgery, or trauma. It is usually associated with dry eye syndrome, corneal compromise, and unsatisfactory cosmetic appearance. We used the autologous deep temporal fascia as an upper eyelid spacer graft to treat the eyelid retraction. Materials and Methods: Records of 11 patients (15 lids) treated by a single surgeon were reviewed retrospectively from 2008 to 2012. All eyelid retractions ranged from 1 to 3 mm above its ideal position and were corrected with the technique of deep temporal fascia spacer grafting. Preoperative etiologies, characteristics and postoperative outcomes were analyzed. Results: Of the 11 patients (15 lids), 8 patients were observed as acceptable results, and 3 were observed as unfavorable postoperative results (2 lids overcorrection and 1 lid undercorrection). Two of the three unsatisfactory cases were corrected through early revision surgery. Lid margin contour showed improvement after the revision. No other complications were observed. Graft resorption, extrusion, and infection did not occur. The overall asymmetry rate was 27% (3/11). The total revision rate was 13 % (2/15). Conclusion: Correction of upper eyelid retractions with autologous deep temporal fascia grafts is efficient and safe. This technique is a simple and reproducible method for the repair of upper lid retraction.
延伸閱讀
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