Paul Tessier's Technique in the Treatment of Paralytic Lagophthalmos by Lengthening of the Levator Muscle: Evaluation of 29 Cases
Paul Tessier's Technique in the Treatment of Paralytic Lagophthalmos by Lengthening of the Levator Muscle: Evaluation of 29 Cases
复制标题
Paul Tessier 延长提上睑肌治疗麻痹性兔眼的技术：29 例评估
DOI：
10.1097/sap.0b013e318218360b
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发表时间：
2011
影响因子：
1.5
通讯作者：
H. Bénateau
中科院分区：
文献类型：
--
作者：
Marie;D. Labbé;J. Bardot;H. Bénateau
目的：兔眼是面瘫的主要功能性并发症，因为在缺乏治疗的情况下，它会导致角膜瘢痕形成和失明。治疗这种疾病的方法有很多，包括保罗·特西尔开发的一种通过腱膜间置法延长提肌的方法。我们评估了这项技术的好处，并将结果与其他技术，特别是使用黄金植入物的结果进行了比较。材料和方法：29例患者均由同一外科医生采用Paul Tessier所描述的肌腱间置提肌延长术进行手术。术后1年就诊时按预定标准和患者本人(问卷)评定美容效果和功能效果。我们回顾了用于治疗兔眼的其他外科技术，并将研究结果与以前的国际研究进行了比较。讨论：金片植入物的使用仍然是治疗眼拉垂最广泛使用的技术。虽然功能效果良好，但植入物始终可见，导致上眼睑皱折消失，有暴露的风险，因此有感染的风险。提肌延长术是Paul Tessier开发的一项技术，它可以获得相同的功能结果，但保留了上睑的自然外观。这是一种简单的外科手术，发病率低。结论：肌腱膜间置提肌延长术是一种简单、可靠、重复性好的手术方法，治疗麻痹性眼球突出症具有良好的功能和美观效果。
Aims:Lagophthalmos is the major functional complication of facial paralysis because, in the absence of treatment, it can lead to corneal scarring and blindness. This disorder can be treated in a number of ways, including levator lengthening by aponeurosis interposition, a technique developed by Paul Tessier. We assessed the benefits of this technique, and compared the results to those with other techniques, in particular, the use of gold implants. Materials and Methods:A total of 29 patients were operated by the same surgeon using levator lengthening by aponeurosis interposition as described by Paul Tessier. Aesthetic and functional results were assessed according to predefined criteria during patient consultation at 1 year and by the patients themselves (questionnaire). We reviewed other surgical techniques used to treat lagophthalmos and compared findings with previous international studies. Discussion:The use of a gold plate implant remains the most widely used technique for the treatment of lagophthalmos. Although the functional results are good, the implant is always visible, leading to the disappearance of the superior palpebral fold and a risk of exposure and therefore of infection. Levator lengthening, a technique developed by Paul Tessier, allows identical functional results to be obtained, but conserves a natural appearance of the upper eyelid. It is a simple surgical procedure associated with a low morbidity rate. Conclusion:The lengthening of the levator by aponeurosis interposition is a simple, reliable, and easily reproducible technique allowing treatment of paralytic lagophthalmos with good results, in terms of both function and aesthetics.