术前规划中提肌前移术的数值相关性
Numerical Correlation of Levator Advancement in Preoperative Planning.
作者信息
Makeeva Valeria, Collawn Sherry S, Pierce Evelina N, Mousa Mina S, Yang Jennifer H, Davison Peter N, Jospitre Elodie C
机构信息
From the *University of Alabama at Birmingham School of Medicine; †Division of Plastic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL; ‡Department of Pediatrics, University of California, San Diego, La Jolla, CA; and §Morsani School of Medicine, University of South Florida, Tampa, FL.
出版信息
Ann Plast Surg. 2017 Jun;78(6S Suppl 5):S279-S281. doi: 10.1097/SAP.0000000000001143.
BACKGROUND
Several procedures have been proposed for the treatment of eyelid ptosis, and both levator advancement and levator plication are widely used to shorten the levator palpebrae superioris. The purpose of this study was to quantify perioperative lid measurements in patients undergoing bilateral levator aponeurosis advancements to aid in preoperative planning.
METHODS
Between July 2014 and June 2016, the authors performed a retrospective analysis of all bilateral upper eyelid levator advancement procedures for ptosis performed by the senior surgeon. There are a total of 21 patients (6 men and 15 women) with a mean age of 63 years (range, 48-79 years). The average time at follow-up was 5.3 months, with a range of 1 to 26 months.
RESULTS
In this retrospective study, we collected data on presurgical measurements including marginal reflex distance 1 (MRD1), surgical technique used (symmetrical/asymmetrical levator advancement) with millimeters of advancement used, and postsurgical measurements. We found that on average, an advancement of 4 mm led to an improvement in MRD1 of 2.26 mm (n = 14), and advancement of 5 mm led to an improvement in MRD1 of 2.74 mm (n = 15). Patients also reported improvements in their quality of life.
CONCLUSIONS
Our results may be used to guide clinicians in preoperative planning.
背景
已经提出了几种治疗眼睑下垂的手术方法，提上睑肌缩短术和提上睑肌折叠术都被广泛用于缩短提上睑肌。本研究的目的是量化接受双侧提上睑肌腱膜缩短术患者的围手术期眼睑测量值，以辅助术前规划。
方法
2014年7月至2016年6月期间，作者对资深外科医生进行的所有双侧上睑提上睑肌缩短术治疗上睑下垂的病例进行了回顾性分析。共有21例患者（6例男性和15例女性），平均年龄63岁（范围48 - 79岁）。平均随访时间为5.3个月，范围为1至26个月。
结果
在这项回顾性研究中，我们收集了术前测量数据，包括边缘反射距离1（MRD1）、所使用的手术技术（对称/不对称提上睑肌缩短术）及缩短的毫米数，以及术后测量数据。我们发现，平均而言，缩短4毫米导致MRD1改善2.26毫米（n = 14），缩短5毫米导致MRD1改善2.74毫米（n = 15）。患者还报告生活质量有所改善。
结论
我们的结果可用于指导临床医生进行术前规划。
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