Efficacy of high disinsertion of the levator palpebrae superioris muscle combined with conjoint fascial sheath fixation for correcting moderate to severe ptosis
10.3760/cma.j.cn114657-20240206-00017
- VernacularTitle:高位离断提上睑肌+联合筋膜鞘固定技术矫正中、重度上睑下垂的效果
- Author:
Huiqing GUO
1
;
Xiaoli WANG
1
;
Yanchen WANG
1
;
Yitao YAN
1
Author Information
1. 新乡医学院第一附属医院眼科，新乡 453100
- Publication Type:Journal Article
- Keywords:
Ptosis;
Conjoint fascial sheath;
Levator palpebrae superioris muscle
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(3):275-279
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the efficacy of high disinsertion of the levator palpebrae superioris muscle combined with conjoint fascial sheath (CFS) fixation for the treatment of moderate to severe ptosis.Methods:A retrospective study included 20 patients with moderate to severe ptosis treated at the First Affiliated Hospital of Xinxiang Medical University from June 2022 to June 2023. Participants were divided into two groups based on surgical technique. Traditional group [9 patients (16 eyes), 3 males and 6 females, aged 5-32 (18.2±7.1) years]: were treated with standard surgical approach involving levator palpebrae superioris muscle separation starting from the tarsal plate margin combined with CFS fixation. Modified group [11 patients (16 eyes), 5 males and 6 females, aged 6-28 (17.5±6.3) years]: were treated with modified technique utilizing high disinsertion of the levator palpebrae superioris muscle combined with CFS fixation. Outcomes including CFS exposure time, postoperative edema resolution time, complications, and patient satisfaction were compared between the two groups.Results:The CFS exposure time in the traditional group lasted for (37.5±3.0) min, which was significantly longer than that in the modified group of (23.9±1.8) min ( P<0.001). Postoperative edema resolution time in the traditional group was (16.4±1.4) days, which was also longer than that in the modified group of (7.0±0.6) days ( P<0.001). Transient lagophthalmos occurred in all patients postoperatively. The traditional group exhibited 3 cases of mild conjunctival prolapse and 3 cases of chemosis, while the modified group had 1 case of mild conjunctival prolapse and 1 case of chemosis. Patient satisfaction rates were 15/16 eyes in the modified group and 12/16 eyes in the traditional group. Conclusion:The modified technique involving high disinsertion of the levator palpebrae superioris muscle combined with CFS fixation demonstrates superior effectiveness in correcting moderate to severe ptosis.
