The purpose of this study was to evaluate the functional and cosmetic outcomes of a new modified Fox pentagon technique performed using polytetrafluoroethylene in frontalis suspension surgery for blepharophimosis syndrome. This retrospective study enrolled 40 patients diagnosed with blepharophimosis syndrome from March 2016 to October 2018. All patients underwent frontalis suspension using a new modified Fox pentagon technique. The functional and cosmetic outcomes were evaluated. After the operation, the mean palpebral fissure height increased from 2.68 to 6.93 in right eyes and from 2.73 to 6.98 in left eyes. The mean MRD1 increased from 0.53 to 3.76 in right eyes and from 0.50 to 3.78 in left eyes. While preoperative to postoperative differences were statistically significant (p < 0.01), there were no significant differences between right and left eyes either before or after the surgery (p > 0.01). All patients achieved good cosmetic results with an average score of 0.6. We have experimentally created a modified Fox pentagon technique performed using a polytetrafluoroethylene sling in a frontalis suspension to treat BPES; this approach yielded favorable cosmetic and functional outcomes.

中文翻译：

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改良的 Fox 五边形技术，使用额肌悬吊中的聚四氟乙烯吊带来治疗睑裂综合征。

本研究的目的是评估新改良的 Fox 五边形技术在治疗眼睑裂综合征的额肌悬吊手术中使用聚四氟乙烯进行的功能和美容效果。这项回顾性研究招募了 2016 年 3 月至 2018 年 10 月期间诊断为眼睑裂综合征的 40 名患者。所有患者均使用新改良的 Fox 五边形技术接受额肌悬吊术。评估了功能和美容效果。术后，右眼平均睑裂高度从2.68增加到6.93，左眼从2.73增加到6.98。右眼平均 MRD1 从 0.53 增加到 3.76，左眼从 0.50 增加到 3.78。虽然术前与术后差异具有统计学意义（p < 0.01），但手术前后左右眼之间没有显着差异（p > 0.01）。所有患者均获得良好的美容效果，平均得分为0.6。我们通过实验创建了一种改进的 Fox 五边形技术，使用额肌悬液中的聚四氟乙烯吊带来治疗 BPES；这种方法产生了良好的外观和功能效果。