Chinese Journal Of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (2): 217-219.doi: 10.13418/j.issn.1001-165x.2017.02.020

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To explore a beautiful method of using orbital septum aponeurosis flap and frontal muscle flap to correct serious blepharoptosis

FU Fu-ren1, XIE Yi-de2   

  1. 1.Department of Plastic Surgery, Clinical Medical College of Putian University,  Putian, Fujian 351100, China;  2.Department of Plastic Surgery of Fujian Medical University Union Hospital, Fuzhou 350001, China
  • Received:2016-09-02 Online:2017-03-25 Published:2017-04-27

Abstract:

Objective To explore a beautiful method of treating serious  blepharoptosis. Methods  To form the frontal muscle flap and orbital septum aponeurosis flap, the frontal muscle flap was overlapped between levator palpebrae superioris and orbital septum aponeurosis flap; two flaps and levator palpebrae superioris were overlapped and sutured in order to suspend the upper eyelid to  correct serious blepharoptosis.Results 12 cases with 12 eyes were treated with this method. Postoperative follow-up for 6 months to 18 months showed that the efficacy of 10 cases was satisfying, symptom in one case improved  ,and  one case needed a second reconstruction. Conclusion Through this method for correction of serious recurrent blepharoptosis by suspension offrontal muscle flap overlapped with levator palpebrae superioris and orbital septum aponeurosis flap, a better function and cosmetic result could be achieved. The eyelid system that it forms is very consonant with the biological structures.

Key words: Serious blepharoptosis, Frontal muscle flap, Levator palpebrae superioris, Orbital septum aponeurosis flap, Beauty