Abstract：
Frontalis suspension surgery is commonly used for the repair of congenital ptosis and involutional blepharoptosis with poor levator function. Grafts for this procedure have been developed using a variety of different materials, each with advantages and disadvantages. The retroauricular fascia graft might be beneficial in this surgery. This article reports the surgical results of blepharoptosis, who were treated with the retroauricular fascia, which is a new autologous graft for the frontalis suspension technique. This case series study targeted patients with ptosis who underwent frontalis suspension surgery with the retroauricular fascia graft at Wakayama Medical University in Japan between May 2016 and May 2023. Patients with insufficient follow-up (<6 months) were excluded from the study. Eligible patients were categorized into one of the following three assessment groups: \"good\" (improvement of palpebral fissure height without laterality, Margin reflex distance-1 gap between right and left side <0.5 mm), \"fair\" (improvement of palpebral fissure height with laterality), or \"poor\" (poor improvement of palpebral fissure height). Thirty-five eyes in 25 patients were treated with the retroauricular fascia graft. The mean postoperative follow-up was 27 months. Eight patients were classified as good (32%), 15 as fair (60%), and two as poor (8%). Two patients (8%) had postoperative lagophthalmos. No patients had eyelash inversion, tarsal deformity, or recurrence of ptosis. Scars along the edge of the hairline were inconspicuous and there were no hypertrophic scars. Functional reconstruction of the eyelids using the retroauricular fascia graft technique is described here for the first time. This grafting technique may be a useful alternative for frontalis suspension surgery because it can be harvested with easy access and without leaving conspicuous scars.
摘要：
额骨悬吊术通常用于修复先天性上睑下垂和累及性上睑下垂功能差。已经使用各种不同的材料开发了用于此程序的移植物，每个都有优点和缺点。耳后筋膜移植可能在该手术中有益。本文报道了上睑下垂的手术效果，用耳后筋膜治疗的人，这是一种新的自体额悬吊技术。本病例系列研究针对2016年5月至2023年5月在日本和歌山医科大学接受了耳后筋膜移植的额下垂患者。随访不足（<6个月）的患者被排除在研究之外。符合条件的患者被分为以下三个评估组之一：“良好”（改善睑裂高度，无侧向，边缘反射距离-右侧和左侧之间的1个间隙<0.5mm），“正常”(侧向改善睑裂高度)，或“差”（睑裂高度改善不良）。25例患者中的35只眼接受了耳后筋膜移植治疗。术后平均随访27个月。8例患者被分类为良好（32%），15个公平(60%)，差两个（8％）。2例患者（8％）术后出现了眩眼。没有病人有睫毛倒置,髌骨畸形,或上睑下垂复发。沿发际线边缘的疤痕不显眼，也没有肥厚性疤痕。本文首次描述了使用耳后筋膜移植技术对眼睑进行功能重建。这种移植技术可能是额骨悬吊手术的有用替代方法，因为它可以轻松获取且不会留下明显的疤痕。
