Comparison between frontalis suspension and levator resection in treatment of blepharoptosis: a meta-analysis
10.3760/cma.j.issn.1671-0290.2022.01.011
- VernacularTitle:额肌瓣悬吊术和提上睑肌缩短术治疗上睑下垂的Meta分析
- Author:
E LI
1
;
Qian YE
;
Huafang GUO
Author Information
1. 解放军中部战区总医院眼科,武汉 430070
- Keywords:
Meta-analysis as topic;
Treatment outcome;
Blepharoptosis;
Frontalis suspension;
Levator resection
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(1):40-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the postoperative efficacy and complications of frontalis suspension and levator resection in the treatment of blepharoptosis.Methods:According to the Cochrane systematic review method, we searched PubMed, Medline, Cochrane Library, Wanfang database, VIP Database, and China Knowledge Network database. The randomized and non-randomized controlled trials for comparing frontalis suspension and levator resection in the treatment of blepharoptosis were included. Revman 5.3 Meta analysis software was used.Results:A total of 13 clinical trials were involved in this study, including 1308 patients. Frontalis suspension was performed in the experimental group and levator resection was performed in the control group. The OR value of postoperative efficacy between the 2 groups was 2.91, 95% CI (1.57-5.39), P<0.01, the difference was statistically significant. Postoperative lagophthalmos after frontalis suspension was better [ MD=-1.05, 95% CI (-1.43--0.68), P<0.01], the difference was statistically significant. The OR value of undercorrection between the 2 groups was 0.24, 95% CI(0.16-0.36), P<0.01, the difference was statistically significant. Conclusions:The postoperative efficacy after frontalis suspension is higher. Postoperative complications after frontalis suspension are less.