Application of auxiliary conjunctival approach technique in the correction of severe ptosis with conjoint fascial sheath technique
10.3760/cma.j.cn114453-20221027-00341
- VernacularTitle:辅助结膜面入路在上睑联合筋膜鞘技术矫正重度上睑下垂中的应用
- Author:
Pengfei SANG
1
;
Qingchun XI
;
Xiaojing LI
Author Information
1. 合肥市第二人民医院 安徽医科大学附属合肥医院整形外科，合肥 230041
- Keywords:
Blepharoptosis;
Severe ptosis;
Auxiliary conjunctival approach;
Conjoint fascial sheath
- From:
Chinese Journal of Plastic Surgery
2023;39(6):628-633
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility of auxiliary conjunctival approach technique in the correction of severe ptosis with upper eyelid conjoint fascial sheath (CFS) technique.Methods:The clinical data of patients with severe blepharoptosis who were treated in the Department of Plastic Surgery of the Second People’s Hospital of Hefei with CFS technology using auxiliary conjunctival approach (January to December 2021) or corneal protective plate technology (January to December 2020) were analyzed retrospectively. The patients were divided into group Ⅰ (using the auxiliary conjunctival approach) and group Ⅱ( using the corneal protection plate technique). The total operation time, CFS exposure time, postoperative tumescence time and complications of the two groups were recorded, and the postoperative patient satisfaction was investigated. The measurement data of normal distribution were expressed as Mean±SD, and independent sample t-test was used for comparison between the two groups. Counting data were analyzed by Chi-square test. Results:A total of 43 cases of severe blepharoptosis were included. There were 25 cases(47 eyes) in group Ⅰ, aged (55.1±10.0) years, including 3 males and 22 females. The amount of blepharoptosis was (5.9±0.9) mm. There were 18 cases(34 eyes) in group Ⅱ, aged (49.9±12.7) years, including 4 males and 14 females. The amount of ptosis was (5.5±1.2) mm. There were no significant differences in age, gender composition and ptosis between the two groups ( P>0.05). The CFS exposure time [(15.6 ± 2.8) min vs. (27.3 ± 5.3) min] and the total operation time [(28.3 ± 3.9) min vs. (48.6 ± 8.2) min] in group Ⅰ were significantly less than those in group Ⅱ, with significant differences ( P<0.01). The postoperative tumescence time in group Ⅰ was significantly shorter than that in group Ⅱ [(13.5 ± 2.4) days vs. (30.2 ± 4.5) days, P<0.01]. The incidence of complications in group Ⅰ was significantly lower than that in group Ⅱ [6.38% (3/47) vs. 26.47% (9/34), P<0.05]. The postoperative satisfaction rate in group Ⅰ was higher than that in group Ⅱ [88.00% (22/25) vs. 55.56% (10/18), P<0.05]. Conclusion:The use of auxiliary conjunctival approach separation technology is effective for dissection of CFS in correction of severe blepharoptosis, so as to reduce the operation time and the incidence of postoperative complications.
