Early Adjusting Surgery after Blepharoptosis Repair.
- Author:
Chul Hong SONG
1
;
Jae Min JUNG
;
Dae Hwan PARK
Author Information
1. Department of Plastic and Reconstructive Surgery, Oculoplastic Clinic, College of Medicine, Catholic University of Daegu, Daegu, Korea. dhpark@cu.ac.kr
- Publication Type:Original Article
- Keywords:
Blepharoptosis;
Early adjusting surgery
- MeSH:
Blepharoptosis*;
Cost Savings;
Eyelids;
Follow-Up Studies;
Hand;
Humans;
Jordan;
Reoperation;
Surgical Procedures, Operative
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2006;33(1):95-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The challenge of accurately predicting eyelid height after blepharoptosis surgery is well-known problem even in complete hands. From May, 1988 to December, 2004, authors reviewed 182 cases(240 eyes) of blepharoptosis corrected by frontalis muscle transfer or levator resection and had experienced 10 cases(15 eyelids) of early reoperation around 1 week. The period from initial operation to reoperation are between six to eight days and mean period is seven days. Initial operative procedures were frontalis muscle transfer in 3 cases(4 eyelids) and levator resection in 7 cases(11 eyelids). Follow up period ranged from 6 months to 16 years. Early adjusting surgery was performed in accordance with the preoperative and postoperative degree of ptosis of patient and considering previous operative technique. The results are evaluated according to the criteria of an ideal correction by Souther and Jordan. Seven patients have good or satisfactory results(less than 1 mm asymmetry, good in 5 cases and satisfactory in 2 cases). Three patients(5 eyelids) recorded as poor results(more than 2 mm asymmetry). Even if early or late reoperation can be effective in correcting unsatisfactory results after correction of blepharoptosis, early reoperation is better than later reoperation because early reoperation can offer a reduction in time to final result, the ease with which it is performed, potential cost savings. The experience of surgeon is also important factor for the reatment of recurred blepharoptosis.
