Abstract
Objective To evaluate the efficacy of frontalis muscle flap suspension with single incision of double eyelid for the correction of severe congenital blepharoptosis in children. Methods The data of 92 eyes of 64 children with severe congenital blepharoptosis from Jan. 2007 to Jun.2017 were retrospectively analyzed. All children were treated with the frontalis muscle flap suspension with single incision of double eyelid.They were followed up 3 - 6 months. Results In the early postoperative period all children had mild lagophthalmos, and they recovered to nomal in 1 month after surgery. At the last follow-up time, all cases got a satisfied efficacy with nomal palpebral fissure height and symmetric double eyelids. Efficacy was satisfactory in 83 eyes of 57 cases (90.22%), good in 9 eyes of 7 cases(9.78%) , and no inefficient case occurred. No complication occurred such as malformed upperlid fold deformity, entropion, ectropion, formix conjunctival prolapse, exposure keratitis or infection. Conclusion The frontalis muscle flap suspension with single incision of double eyelid is a safe and effective technique for severe congenital blepharoptosis in children with small injury and less complications.It can achieve good surgical results. Key words: Blepharoptosis, congenital, severe, children; Frontal muscle flap suspension, single incision, double eyelid
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