Combined fascia sheath suspension with levator muscle shortening surgery in the treatment of severe ptosis
10.3980/j.issn.1672-5123.2024.12.28
- VernacularTitle:联合筋膜鞘悬吊与提上睑肌缩短术治疗重度上睑下垂
- Author:
Pingsun YANG
1
;
Xinwen QIU
1
Author Information
1. Department of Ophthalmology, Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou 311201, Zhejiang Province, China
- Publication Type:Journal Article
- Keywords:
combined fascia sheath;
suspension surgery;
upper eyelid levator muscle shortening surgery;
severe ptosis
- From:
International Eye Science
2024;24(12):2012-2015
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To analyze the effectiveness and safety of upper eyelid combined fascia sheath(CFS)suspension and levator muscle(LM)shortening surgery in correcting severe ptosis.METHODS:Retrospective study. A total of 80 cases(84 eyes)of severe ptosis treated in our hospital from June 2018 to June 2022 were divided into two groups based on the surgical method, including 40 cases(41 eyes)underwent CFS suspension + LM shortening surgery in CFS group, and 40 patients(43 eyes)underwent frontal muscle flap suspension surgery in frontal muscle group; the clinical total effective rate, postoperative complications, and patient satisfaction rate of both groups of patients were compared.RESULTS:At 12 mo postoperatively, the clinical effective rates of the two groups of patients were 98% and 91%, respectively(P>0.05). The incidence of complications was 26%(11/43)in the frontal muscle group and 7%(3/41)in the CFS group(P=0.024). The satisfaction rate of the frontal muscle group was 80%(32/40), while the CFS group was 98%(39/40; P=0.029).CONCLUSION:The use of CFS+LM surgery can effectively correct severe ptosis, with fewer complications and a more natural appearance.
