Turning the orbital septum downward and fixing it to the tarsus for treatment of mild blepharoptosis
10.3760/cma.j.issn.1671-0290.2020.05.011
- VernacularTitle:眶隔翻转向下固定治疗轻度上睑下垂的效果
- Author:
Gaofeng LI
1
;
Wei DING
;
Jun TAN
;
Bo ZHANG
;
Xin CHEN
;
Bin HE
Author Information
1. 湖南省人民医院（湖南师范大学附属第一医院）整形激光美容外科，长沙 410005
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2020;26(5):394-397
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To present a new treatment method using orbital septum for mild blepharoptosis.Methods:Patients with mild blepharoptosis from December 2015 to October 2017 were included in this study. We incised the orbital septum horizontally. The adhesion between the levator aponeurosis and orbital fat was released. The lower part of the dissected orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. The efficacy of this surgical procedure was analyzed.Results:Fourty-four eyes of 31 patients were included in the final analysis. Stitches were removed 7 days after surgery. The double eyelid lines were well formed. The eyelid closed well. The 6-month follow-up revealed that blepharoptosis was corrected in all analyzed eyes. No upper eyelid retraction or incomplete eye closure was observed. Before the operation and 6 months after the operation, the height of upper eyelid covering the cornea were 3.03±0.32, 1.55±0.19, respectively ( P<0.01). 25 patients were fully satisfied with the surgical results and 6 were basically satisfied with the surgical results. Conclusions:Turning the orbital septum downward and fixing it to the upper border of the lower orbicularis oculi muscle and pretarsal fascia is a promising method for correcting mild blepharoptosis.
