Modified treatment of blepharoptosis with the suspension of scalene frontal muscle flap

Abstract

Objective To reduce the damage of frontal muscle,guarantee the contractility of the for rntal muscle flap and better the therapeutic effects of the blepharoptosis.Methods The incision of plastic operation of double eyelids is to cut the skin ,hypodermis and orbicular muscle of eye to separate directly the deep layer of frontal muscle upward from the orbicular muscle of eye and then reach the superficial layer of the frontal muscle at the juncture of the orbicular muscle and the orbicular muscle of eye with the separation about one and half to two centimeters above the eyebrow,to cut the both sides of the flap vertically with the ratio of one to three of the length of outer part and inner part.Results Thirty-eight cases of blapharoptosis with fifty-nine eyes had been clinicary treated.Except one case failed to get good effect because of an injury in the left eye, thirty-seven cases with fifty-eight eyes showed satisfactory therapeutic effects. Conclusions This therapeutic method can reduce the damage of outer blood vessel and nerves of the frontal muscle flap,improve the contractility of the flap and is suitable to the therapy of moderate and severe blepharoptosis.