The clinical effect of transconjunctival approach in repair of aponeurotic ptosis
10.3760/cma.j.cn114453-20221130-00375
- VernacularTitle:经结膜入路修复腱膜性上睑下垂
- Author:
Jing SHI
1
;
Yingnan ZHAO
;
Wen CHEN
Author Information
1. 中国医学科学院北京协和医学院整形外科医院面颈整形科，北京 100144
- Keywords:
Blepharoptosis;
Aponeurotic ptosis;
Transconjunctival approach;
Levator
- From:
Chinese Journal of Plastic Surgery
2023;39(10):1118-1123
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical technique and therapeutic effect for the repair of aponeurotic ptosis via a transconjunctival approach.Methods:A retrospective analysis was conducted on patient data from the Department of Facial and Neck Plastic Surgery, the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences and Peking Union Medical College from September 2020 to March 2022. These patients were treated for aponeurotic ptosis through a transconjunctival approach. During the operation, after the upper eyelid conjunctiva was incised longitudinally and the Müller muscle was separated, the end of the levator aponeurosis and the white line were fixed on the upper edge of the tarsus. Evaluation of surgical effect: (1) degree of correction, including normal correction, over correction and under correction; (2) symmetry, divided into good, medium, poor 3 grades; (3) stability, divided into good, weakened, disappeared 3 grades; (4) postoperative complications; (5) patient satisfaction was divided into three levels: satisfactory, general and unsatisfactory.Results:23 cases ( 37 eyes ) were treated, including 9 males and 14 females, aged 22-41 years (mean 31 years), including mild ptosis in 21 eyes, moderate ptosis in 9 eyes, and severe ptosis in 7 eyes. Follow up period was 6-18 months, with an average of 13.5 months. All 37 eyes (100%) were evaluated as normal corrective and good stability after surgery. Symmetry evaluation showed "good" in 21 cases (91.3%) and "moderate" in 2 cases (8.7%). All patients were satisfied with the correction effect of ptosis with normal eyelid appearance and function. No severe postoperative complications happened.Conclusion:The transconjunctival approach can correct aponeurotic ptosis with good result and low morbidity. Quick postoperative recovery and natural eyelid appearance can be achieved.
