通过米勒肌-结膜切除术进行内提肌推进术：技术与综述
Internal levator advancement by Müller's muscle-conjunctival resection: technique and review.
作者信息
Mercandetti M, Putterman A M, Cohen M E, Mirante J P, Cohen A J
机构信息
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, and Michael Reese Hospital, USA.
出版信息
Arch Facial Plast Surg. 2001 Apr-Jun;3(2):104-10. doi: 10.1001/archfaci.3.2.104.
BACKGROUND
Müller's muscle-conjunctival resection surgery presumably works by advancing the levator aponeurosis of the upper eyelid. The amount of blepharoptosis and the lid's response to the instillation of phenylephrine hydrochloride onto the superior ocular fornix are used to determine the extent of surgery needed.
OBJECTIVES
To demonstrate the procedure developed and popularized by Allen M. Putterman, MD, performed by Michael Mercandetti, MD, MBA, and to describe the relationship between the amount of Müller's muscle-conjunctival resection performed and the amount of elevation achieved.
METHODS
Data were retrospectively analyzed based on surgical cases done over a 5-year period by one surgeon (A.M.P.).
RESULTS
A linear regression model was developed. From this regression a simple table correlating the amount of resection with the amount of elevation desired was derived.
CONCLUSION
The surgeon will need to modify the table based on his or her clinical experience and postoperative results.
背景
米勒肌-结膜切除术的原理可能是通过推进上睑提肌腱膜来实现的。上睑下垂的程度以及眼睑对向上方眼穹窿滴注盐酸去氧肾上腺素的反应，被用于确定所需手术的范围。
目的
展示由医学博士艾伦·M·帕特曼开发并推广、由医学博士兼工商管理硕士迈克尔·梅尔坎德蒂实施的手术方法，并描述米勒肌-结膜切除术的切除量与上睑提升量之间的关系。
方法
基于一位外科医生（A.M.P.）在5年期间完成的手术病例进行回顾性分析。
结果
建立了一个线性回归模型。根据该回归得出了一个简单的表格，将切除量与期望的提升量相关联。
结论
外科医生需要根据自己的临床经验和术后结果对表格进行调整。
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