Congenital ptosis is mostly inherited in the family, which is caused by oculomotor nerve problems that innervate levator palpebrae superioris. The onset can be unilateral or bilateral. Some are accompanied by epicanthus, ptosis and other deformities. If the upper eyelid is covered for a long time, the field of vision will be reduced, which will cause amblyopia. Because of the compensatory transition to the frontal muscle, the eyebrows will stare up and it is easy to leave wrinkles. A few children even have cervical dysplasia. Therefore, children with ptosis should have plastic surgery in time.
Treatment of congenital ptosis: There are different methods to correct ptosis according to different reasons. For congenital ptosis, surgical correction of clinical experience is quite effective.
L, levator palpebralis muscle shortening
Suitable for children with mild ptosis. Shortening levator palpebrae superioris muscle is used to shorten levator palpebrae superioris muscle to treat congenital ptosis.
2. Frontal myofascial suspension
Frontal myofascial suspension is used to treat congenital ptosis. Take a small piece of fascia lata from thigh and connect it with frontalis muscle and upper eyelid, and strengthen levator palpebrae superioris muscle by frontalis muscle contraction. Because the suspended fascia may become loose in the future, sometimes it will affect the surgical effect.
3. Frontal muscle flap
By using frontalis muscle contraction to strengthen the function of levator palpebrae superioris muscle, the eyelid muscle completely loses its function, and at the same time, the blepharoptosis correction has achieved good results. Its advantage is that only a small incision is made at the eyelid fold (double eyelid line), and the frontalis muscle flap can be separated and transferred to complete the operation, which plays the role of eye expansion and has a reliable and lasting effect. Avoid the pain of cutting the thigh fascia, and at the same time form double eyelids to make the eyes burn more beautifully.
Finally, careful examination must be carried out before congenital ptosis surgery, and differential diagnosis is helpful to choose the appropriate surgical method. At the same time, postoperative care is also very important. If there is no good nursing after operation, it will also lead to poor results and various problems. Therefore, the treatment of congenital ptosis needs to be highly valued to avoid unnecessary harm.