Plication of the posterior orbital septal fascia-levator muscle complex for mild blepharoptosis correction
10.3760/cma.j.cn114453-20210110-00010
- VernacularTitle:眶隔后壁-上睑提肌复合体折叠法矫正轻度上睑下垂的临床疗效分析
- Author:
Dandan LIU
1
;
Lin LUO
;
Yongyan CUI
Author Information
1. 北京大学深圳医院整形外科，深圳 518036
- Keywords:
Blepharoptosis;
Levator palpebrae superioris;
Orbital septum;
Plication
- From:
Chinese Journal of Plastic Surgery
2022;38(1):78-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of posterior orbital septal fascia-levator muscle complex overlapping technique in the treating of mild ptosis.Methods:Clinical data of patients with mild blepharoptosis admitted to Peking University Shenzhen Hospital from January 2018 to January 2020 were retrospectively analyzed. All patients were treated by the same surgeon with folding of posterior orbital septal fascia-levator muscle complex. Postoperative complications were recorded. Binocular symmetry like excellent, good and poor at 6 months postoperatively was evaluated. The correction effect of blepharoptosis was evaluated 12 months after operation, including good correction, basic correction, poor correction and excessive correction.Results:A total of 85 patients(36 males and 49 females, 25.0±4.1 years old) were enrolled, including 62 bilateral and 23 unilateral blepharoptosis patients. The patients were followed up for 12 months. No complications such as hematoma, infection, exposed keratitis or fornical conjunctival prolapse occurred. Among the 85 cases, 63 cases had excellent binocular symmetry, 17 cases had good binocular symmetry, and 5 cases had poor binocular symmetry. The excellent/good rate was 94.1% (80/85). 72 cases of blepharoptosis were well corrected, 9 cases were basically corrected and 4 cases were poorly corrected. The effective rate was 95.3% (81/85).Conclusions:For mild ptosis, plication of the posterior orbital septal fascia-levator muscle complex is safe and effective operation method with minimal injury, and easy to grasp.
