目的:尽管现有各种手术技术,面神经麻痹的治疗仍然困难。本报告的目的是介绍使用颞肌筋膜治疗麻痹性斜眼的环扎吊带技术。
方法:一组6例患者接受了使用颞肌筋膜的环扎吊带技术治疗麻痹性斜眼。详细介绍了该技术。症状,睑裂,术前和术后对患者进行评估。提交数据进行统计分析。
结果:手术后,所有患者临床症状均减轻.上眼睑降低了,下眼睑抬高了,减少眼部暴露,即使存在轻度残留的眩光。
结论:使用颞肌筋膜吊带技术进行环扎术是治疗面神经麻痹性隐眼的一种安全有效的方法。眼部暴露和眼睑功能的减少提供了临床症状和眼睑功能的改善。
OBJECTIVE: Despite various existing surgical techniques, treatment of facial nerve palsy remains difficult. The purpose of this report is to present the cerclage sling technique using temporalis fascia to manage paralytic lagophthalmos.
METHODS: A series of six patients underwent a cerclage sling technique using temporalis muscle fascia to treat paralytic lagophthalmos. The technique is presented in detail. Symptoms, palpebral fissures, and lagophthalmos were assessed pre- and postoperatively. Data were submitted for statistical analysis.
RESULTS: After surgery, all patients achieved a reduction in clinical symptoms. The upper eyelids had lowered, and the inferior eyelids had elevated, reducing ocular exposure even if mild residual lagophthalmos was present.
CONCLUSIONS: Cerclage using the temporalis muscle fascia sling technique is a safe and effective procedure to treat facial nerve paralytic lagophthalmos. A reduction in ocular exposure and lagophthalmos provides improvement in clinical symptoms and eyelid function.