报告了１５例（１８眼）年龄２～９岁的重度先天性上睑下垂的儿童，在全麻下应用额肌瓣悬吊术的矫治体会。术后随访３个月至２年，上睑下垂矫正和美容效果均较满意。无并发症发生。本文介绍了该手术主要方法和步骤。讨论了手术机理、优点、手术年龄和手术量估计等问题。强调早期手术治疗是矫治儿童先天性重度上睑下垂的关键。 Fifteen children (18 eyes) with severe congenital ptosis, aged 2 to 9 years, were reported to receive correction of frontal muscle flap suspension under general anesthesia. The patients were followed up for 3 months to 2 years. Correction of ptosis and cosmetic results were satisfactory. No complications occurred. This article describes the main methods and procedures for this procedure. Discussed the surgical mechanism, advantages, surgical age and amount of surgery estimation and other issues. Emphasis on early surgical treatment of children with congenital severe ptosis key.