采用外直肌复合体前移术矫正重度上睑下垂的长期疗效评估：结果的描述性统计分析
Evaluation of Long-term Outcomes of Correction of Severe Blepharoptosis with Advancement of External Levator Muscle Complex: Descriptive Statistical Analysis of the Results.
作者信息
Innocenti Alessandro, Mori Francesco, Melita Dario, Dreassi Emanuela, Ciancio Francesco, Innocenti Marco
机构信息
Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy
Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
出版信息
In Vivo. 2017 Jan 2;31(1):111-115. doi: 10.21873/invivo.11032.
AIM
Evaluation of long-term results after aponeurotic blepharoptosis correction with external levator muscle complex advancement.
PATIENTS AND METHODS
We carried out a retrospective study with medical record review of 20 patients (40 eyes) affected by bilateral aponeurotic moderate and severe ptosis who underwent primary surgery between January 2010 and December 2013. Criteria for outcome evaluations included 3-year postoperative follow-up of upper margin reflex index (uMRD) and symmetry.
RESULTS
3-Year postoperative follow-up showed 17 (85%) cases of successful correction of ptosis and three cases (15%) showed partial success. Two eyes showed hypocorrection, while one eye was overcorrected. The symmetry was maintained in all patients except for the oldest.
CONCLUSION
External superior levator advancement is an effective procedure for moderate and severe aponeurotic blepharoptosis correction, and establishes good long-term eyelid position and symmetry.
目的
评估采用外路提上睑肌复合体前移术矫正腱膜性上睑下垂的长期效果。
患者与方法
我们进行了一项回顾性研究，对2010年1月至2013年12月期间接受初次手术的20例（40只眼）双侧腱膜性中度和重度上睑下垂患者的病历进行了回顾。结果评估标准包括术后3年对上睑缘反射距离（uMRD）和对称性的随访。
结果
术后3年随访显示，17例（85%）上睑下垂矫正成功，3例（15%）部分成功。2只眼矫正不足，1只眼矫正过度。除年龄最大的患者外，所有患者的对称性均得以维持。
结论
外路提上睑肌前移术是矫正中度和重度腱膜性上睑下垂的有效方法，可建立良好的长期眼睑位置和对称性。
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