Efficacy of conjoint fascial sheath and frontalis muscle flap suspension in treatment of congenital severe blepharoptosis: a systematic review and meta-analysis
10.3760/cma.j.issn.1671-0290.2022.01.012
- VernacularTitle:联合筋膜鞘悬吊术与额肌瓣悬吊术治疗先天性重度上睑下垂疗效的Meta分析
- Author:
Siming WEI
1
;
Jiao CAO
;
Yinke TANG
;
Feng SUN
;
Yang LI
;
Xi ZHANG
;
Baoqiang SONG
Author Information
1. 空军军医大学第一附属医院整形外科，西安 710032
- Keywords:
Meta-analysis;
Conjoint fascial sheath;
Frontalis muscle flap suspensionin;
Blepharoptosis
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(1):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of combined fascia sheath suspension (CFS) and frontalis muscle flap suspension in the treatment of severe congenital blepharoptosis.Methods:We searched PubMed, EMbase, Cochrane Library, web of science and Chinese Hownet, Wanfang, VIP, CBM and other databases to collect randomized and non-randomized controlled trials comparing the efficacy of CFS and frontalis muscle flap suspension in the treatment of severe congenital ptosis, from the establishment of literature retrieval database to March 2020; two researchers used RevMan 5.3 software to select and exclude the literature, extract the data and evaluate the quality, set up appropriate effect index and conduct Meta-analysis.Results:Eleven studies included 661 patients, There were 312 cases in study group and 349 cases in control group. The results of Meta analysis showed that the OR of the two groups was 4.88 with 95% CI (2.69, 8.85); the OR of failure rate was 0.20, with 95% CI (0.11, 0.37); the OR of complications was 0.22, with 95% CI (0.14, 0.34). All three groups of data were statistically significant ( P<0.05). Conclusions:The available evidence shows that the combined fascia sheath suspension (CFS) is effective in the treatment of severe congenital blepharoptosis compared with frontalis muscle flap suspension, but the complications of CFS are lower and the satisfaction is higher; these findings have yet to be validated by more high-quality studies due to limitations in the quality and quantity of studies included.
