Correction of severe blepharoptosis using an orbicularis oculi muscle flap / 中华医学美学美容杂志

ABSTRACT

Objective To investigate treatment effects of correcte d severe blepharoptosis using an orbicularis oculi muscle flap. Meth ods After the lid creased incision, the subtaneous plane was dissect ed between the skin and the orbicularis oculi muscle, reaching as far as the sup erior margin of eyebrow. In a plane between the obicularis and the orbital sept um, the dissection was extended bluntly upward to above the superior orbital rim . to advance the orbicilaris oculi muscle flap to the tarsal plate and to suture the flap with the tarsus directly. Results Based on cri teria of the ″satisfactory″results by Souther, postoperative results of all bl ep haroptosis of twenty-four eyes in fifteen paitents were satisfactory. Conclusion The orbicularis oculi muscle flap for correction of s evere blepharoptosis is simple and reliable technique, which has several advanta ges over the conventional frontalis muscle flap technique, such as single incis ion on the supratarsal fold, the preservation of the function of frontalis mucle , no depression on the forehead, no risk of neurovascular injury and no asymmet rical eyebrows in unilateral ptosis.