先天性上睑下垂的外科治疗

M. Muradov, Y. Nabiev, K. Muhamedkerim, B. Baimakhanov, K. Kazantayev
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引用次数: 0

摘要

在儿童时期,闭合上眼睑瞳孔会导致20-70%的弱视发展。手术治疗上睑下垂的主要方法是悬吊手术。材料和方法。一个2岁的儿童表现为先天性右上眼睑下垂。右侧睑裂缩小0.5 cm。左上眼睑偏移0.9厘米,右上眼睑偏移0.3厘米。经父母书面同意后,患儿行了手浅屈肌植入术消除右上睑下垂。结果。上睑下垂悬吊手术的多样性不仅与悬吊缝合的多种选择有关(单、双菱形、三角形、u形等),而且与使用的材料有关-生物和合成材料。结论。根据我们的研究,合成材料可以让你获得更稳定的效果,但我们用的是肌腱。
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SURGICAL TREATMENT OF CONGENITAL PTOSIS OF THE UPPER EYELIDS
In childhood, closing the pupil with the upper eyelid leads to the development of amblyopia in 20-70%. The main methods of surgical treatment of blepharoptosis in the absence of the function of the muscle that lifts the upper eyelid are suspension operations. Material and methods. A 2-year-old child presented with congenital ptosis of the right upper eyelid. Palpebral fissure versus right narrowed by 0.5 cm. Excursion of the left upper eyelid 0.9 cm, right 0.3 cm. After the written consent of the parents, the child underwent an operation to eliminate ptosis of the right upper eyelid by implantation parts of the superficial flexor of the hand. Results. The variety of suspension operations for blepharoptosis is associated not only with the many options for conducting a suspension suture (single and double diamond-shaped, triangular, U-shaped, etc.), but also with the materials used - biological and synthetic. Conclusion. According to our research, synthetic materials allow you to get a more stable good result, but we used a tendon.
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