Clinical efficacy of small incision conjoint fascial sheath suspension in treatment of severe congenital blepharoptosis
10.3760/cma.j.issn.1671-0290.2023.04.008
- VernacularTitle:小切口联合筋膜鞘悬吊术治疗先天性重度上睑下垂的效果
- Author:
Feng HAN
1
;
Shengzhi MU
;
Yaowen SUN
;
Guodong WANG
Author Information
1. 陕西省人民医院烧伤整形医学美容外科，西安 710068
- Keywords:
Eyelids;
Severe ptosis;
CSF suspension;
Small incision;
Clinical effect
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(4):284-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical effect of small incision approach conjoint fascial sheath (CFS) suspension in the treatment of congenital severe blepharoptosis, and to discuss its advantages and disadvantages compared with conventional CSF suspension.Methods:From February 2020 to August 2022, 42 cases of severe blepharoptosis in the Department of Burn, Plastic and Cosmetic Surgery, Shaanxi Provincial People's Hospital were divided into the observation group (23 cases, 39 eyes) and the control group (19 cases, 37 eyes). The observation group was treated with small incision CFS suspension surgery, while the control group was treated with conventional CFS suspension surgery. The correction effect, complications, recovery time and other conditions between the two groups at different times after surgery were compared.Results:During postoperative follow-up at 1 week, 1 month, 3 months, and 6 months, there was no significant difference in the corrective effect between the two surgical methods at each time point (all P>0.05). The incidence of complications in the observation group at each time point that was 26.3%, 15.7%, 10.5%, and 5.2%, respectively, while the incidence of complications in the control group was 60.0%, 20.0%, 14.2%, and 8.6%, with statistical differences in the first week after surgery (χ 2=8.74, P=0.011). The average postoperative swelling time in the observation group was 4.2 days, which was less than 5.8 days in the control group. During a 6-month follow-up, it was found that there was a decrease in scar hyperplasia in the observation group of 9.1% (2/22) compared to the control group of 16.7% (3/18) (χ 2=0.023, P=0.878). The difference was of no statistical significance. Conclusions:CFS suspension with small incision in the treatment of moderate and severe blepharoptosis has the advantages of ideal correction effect, small damage range, and few postoperative complications, but the operation area is small, the operation is difficult, and the surgeon has higher requirements.
