Abstract：
BACKGROUND: Lagophthalmos, a common complication after blepharoptosis correction, has plagued oculoplastic surgeons. The goal of this study was to investigate the effect of tape eyelid closure on reducing the occurrence of lagophthalmos after blepharoptosis correction.
METHODS: From April 2020 to June 2021, a total of 112 patients with severe congenital ptosis received corrective surgery at the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University. Of these, 48 underwent frontalis muscle advancement technique and 64 underwent conjoint fascial sheath suspension. Preoperative data collected included demographics, levator function, Bell\'s phenomenon, and marginal reflex distance 1 (MRD1). Postoperative data included surgery type, MRD1, eyelid closure function, aesthetic outcomes (including eyelid contour, eyelid symmetry, and eyelid crease), keratitis, and other complications.
RESULTS: Frontalis muscle advancement technique group: the median of safe eye closure time was 7.3 months (positive Bell\'s phenomenon; interquartile range [IQR], 3.8-10.8 months) and 13.9 months (poor Bell\'s phenomenon; IQR, 11.6-16.1 months). There was a significant improvement between the preoperative and postoperative MRD1 (-1.52 ± 0.82 vs 3.85 ± 0.58 mm, P < 0.05). Conjoint fascial sheath suspension group: the median of safe eye closure time was 5.7 months (positive Bell\'s phenomenon; IQR, 2.9-8.5 months) and 12.4 months (poor Bell\'s phenomenon; IQR, 8.1-16.7 months). There was a significant improvement between the preoperative and postoperative MRD1 (-1.02 ± 0.91 vs 4.15 ± 1.03 mm, P < 0.05). All patients/guardians were satisfied with the aesthetic outcomes.
CONCLUSIONS: Tape tarsorrhaphy is a safe, easy-to-learn method for treating lagophthalmos with a good aesthetic outcome.
METHODS: From April 2020 to June 2021, a total of 112 patients with severe congenital ptosis received corrective surgery at the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University. Of these, 48 underwent frontalis muscle advancement technique and 64 underwent conjoint fascial sheath suspension. Preoperative data collected included demographics, levator function, Bell\'s phenomenon, and marginal reflex distance 1 (MRD1). Postoperative data included surgery type, MRD1, eyelid closure function, aesthetic outcomes (including eyelid contour, eyelid symmetry, and eyelid crease), keratitis, and other complications.
RESULTS: Frontalis muscle advancement technique group: the median of safe eye closure time was 7.3 months (positive Bell\'s phenomenon; interquartile range [IQR], 3.8-10.8 months) and 13.9 months (poor Bell\'s phenomenon; IQR, 11.6-16.1 months). There was a significant improvement between the preoperative and postoperative MRD1 (-1.52 ± 0.82 vs 3.85 ± 0.58 mm, P < 0.05). Conjoint fascial sheath suspension group: the median of safe eye closure time was 5.7 months (positive Bell\'s phenomenon; IQR, 2.9-8.5 months) and 12.4 months (poor Bell\'s phenomenon; IQR, 8.1-16.7 months). There was a significant improvement between the preoperative and postoperative MRD1 (-1.02 ± 0.91 vs 4.15 ± 1.03 mm, P < 0.05). All patients/guardians were satisfied with the aesthetic outcomes.
CONCLUSIONS: Tape tarsorrhaphy is a safe, easy-to-learn method for treating lagophthalmos with a good aesthetic outcome.
摘要：
背景：Lagophymos，上睑下垂矫正后的常见并发症，困扰着眼整形外科医生。这项研究的目的是研究胶带眼睑闭合对减少上睑下垂矫正后眼睑下垂的影响。
方法：从2020年4月至2021年6月，共有112例严重先天性上睑下垂患者在整形外科接受了矫正手术，西京医院,第四军医大学.其中,48例接受额肌推进技术，64例接受联合筋膜鞘悬吊术。术前收集的数据包括人口统计学，提升机功能，贝尔现象，和边缘反射距离1（MR1）。术后数据包括手术类型，MRD1，眼睑闭合功能，美学结果(包括眼睑轮廓，眼睑对称，和眼睑折痕)，角膜炎,和其他并发症。
结果：前肌推进技术组：安全闭眼时间的中位数为7.3个月（贝尔现象阳性；四分位距[IQR]，3.8-10.8个月)和13.9个月(不良贝尔现象；IQR，11.6-16.1个月）。术前和术后MR1有显著改善(-1.52±0.82vs3.85±0.58mm,P<0.05)。联合筋膜鞘悬吊组:安全闭眼时间中位数为5.7个月(贝尔现象阳性;IQR,2.9-8.5个月)和12.4个月(不良贝尔现象；IQR，8.1-16.7个月）。术前和术后MRD1有显著改善(-1.02±0.91vs4.15±1.03mm,P<0.05)。所有患者/监护人对美学结果感到满意。
结论：胶带是一种安全的，易于学习的方法，用于治疗泪眼，具有良好的美学效果。
方法：从2020年4月至2021年6月，共有112例严重先天性上睑下垂患者在整形外科接受了矫正手术，西京医院,第四军医大学.其中,48例接受额肌推进技术，64例接受联合筋膜鞘悬吊术。术前收集的数据包括人口统计学，提升机功能，贝尔现象，和边缘反射距离1（MR1）。术后数据包括手术类型，MRD1，眼睑闭合功能，美学结果(包括眼睑轮廓，眼睑对称，和眼睑折痕)，角膜炎,和其他并发症。
结果：前肌推进技术组：安全闭眼时间的中位数为7.3个月（贝尔现象阳性；四分位距[IQR]，3.8-10.8个月)和13.9个月(不良贝尔现象；IQR，11.6-16.1个月）。术前和术后MR1有显著改善(-1.52±0.82vs3.85±0.58mm,P<0.05)。联合筋膜鞘悬吊组:安全闭眼时间中位数为5.7个月(贝尔现象阳性;IQR,2.9-8.5个月)和12.4个月(不良贝尔现象；IQR，8.1-16.7个月）。术前和术后MRD1有显著改善(-1.02±0.91vs4.15±1.03mm,P<0.05)。所有患者/监护人对美学结果感到满意。
结论：胶带是一种安全的，易于学习的方法，用于治疗泪眼，具有良好的美学效果。
