The treatment of 66 ptosis with a modified aponeurosis-resection surgery
10.3760/cma.j.cn114453-20191010-00299
- VernacularTitle:改良式上睑提肌缩短术治疗上睑下垂66眼
- Author:
Guijuan HE
1
;
Shengtao WENG
;
Hua LI
Author Information
1. 浙江大学医学院附属邵逸夫医院整形美容外科，杭州 310016
- Keywords:
Blepharotosis;
Cosmetics;
Eyelids;
Blepharoptosis;
Aponeurosis
- From:
Chinese Journal of Plastic Surgery
2020;36(3):308-312
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of a modified aponeurosis-resection surgery.Methods:From June 2017 to January 2018, a total of 34 patients (66 eyes) with mild to moderate congenital ptosis were treated in Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, including 2 males and 32 females, (26.6 ± 7.6) aged, with mild 49 eyes and moderate 17 eyes. All patients underwent a modified aponeurosis-resection surgery by buried guiding suture. During the operation, guided sutures were run on the deep surface of the levator-Muller’s muscle complex, and the complex was sutured and fixed on the tarsal plate. Follow-up of the postoperative outcome was performed. The distance between the upper eyelid margin covering the upper edge of the cornea was recorded before operation, 3 months, 6 months, and 12 months after operation. The correction of ptosis was analyzed by the analysis of variance.Results:For the 34 patients (66 eyes), the distance between the upper eyelid margin covering the cornea before surgery, 3 months, 6 months, and 12 months was (3.84 ± 0.79) mm, (1.64 ± 0.13) mm, (1.67±0.14) mm, and (1.68 ± 0.14) mm. The difference between the initial value and the preoperative value was statistically significant ( P<0.01). During the follow-up period, no significant complications, such as infection, trichiasis, blepharoplasty, exposed keratitis, eyelid appearance, and conjunctival prolapse, were observed in all 34 patients. 1 case of blepharoplasty suture was lost and then repaired. The remaining 33 patients had satisfactory correction of the upper eyelid, good apperance, and bilateral symmetry. Two of them (4 eyes) had a slight decrease in the upper eyelid margin height, but still normal range, all patients were satisfied with the surgical result. Conclusions:The modified aponeurosis-resection surgery is effective in treating mild and moderate ptosis, with simple procedure, stable adhesion formation, and long-term eyelid function and appearance.
