Effect of combined fascial sheath suspension in treatment of blepharoptosis failure
10.3760/cma.j.issn.1671-0290.2023.06.005
- VernacularTitle:联合筋膜鞘悬吊术矫正修复上睑下垂手术失败的原因与修复方式
- Author:
Ping LIU
1
;
Yi LIU
;
Mei SONG
;
Fuxiu YANG
;
Xiaoxiao LI
;
Yinping WANG
;
Yan LI
Author Information
1. 解放军联勤保障部队第940医院烧伤整形科，兰州 730050
- Keywords:
Severe ptosis;
Repair;
Conjiont fascial sheath;
Suspension;
Frontalis muscle suspension
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(6):448-451
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the failure causes and repair methods of conjoint fascial sheath (CFS) suspension in ptosis correction.Methods:From 2021 September to September 2022, 13 cases (5 males and 8 females, aged from 19 to 49 years with an average of 25 years) were collected, and there were 18 eyes of CFS suspension in the Department of Burn and Plastic Surgery Center, the 940th Hospital of the Joint Logistic Support Force of PLA with a failed ptosis surgeries, including levator palpebrae superioris muscle shortening, CFS suspension, and frontalis muscle suspension.Results:Among the 13 patients (18 eyes), the failure causes included a result of the unfamiliar anatomy of CFS, unstable suture fixation, dysplasia of CFS, and improper suture site, CFS suspension failed to correct ptosis. After following-up for 6 to 30 months after reconstructive surgery, 14 eyes were corrected satisfactorily, 2 eyes were relieved of ptosis, and 2 eyes had ptosis recured six months after restorative surgery and a frontalis muscle suspension was used in the recured cases with a satisfactory outcome.Conclusions:According to the patient′s eye condition, mastering the indications, be familiar with the local anatomy and accurate surgical procedures are the key to success.
