经改良的经结膜提肌前徙术提供术中选择。
A Modified Approach to Transconjunctival Levator Advancement Offering Intraoperative Options.
机构信息
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
出版信息
Aesthet Surg J. 2021 Jul 14;41(8):NP1014-NP1020. doi: 10.1093/asj/sjab118.
BACKGROUND
The transconjunctival technique is an effective approach to mild to moderate blepharoptosis repair that does not involve skin incision. However, accurate surgical manipulation of this method is greatly restricted by poor intraoperative evaluation.
OBJECTIVES
The aim of this study was to introduce a modified transconjunctival approach with flexible intraoperative adjustments in order to achieve more accurate ptosis correction.
METHODS
Taking a transconjunctival approach, the levator aponeurosis and Müller's muscle were folded with a square-like mattress suture for flexible adjustment and accurate correction.
RESULTS
In 18 mild ptosis eyelids, 94.5% (17 eyelids) achieved adequate or normal correction. In 9 eyelids with moderate ptosis, 88.9% (8 eyelids) achieved adequate or normal correction. Of 24 ptosis patients, 23 (95.8%) achieved a good or fair symmetry result.
CONCLUSIONS
This study presents a modified transconjunctival technique for repair of mild to moderate ptosis, which is characterized by flexible intraoperative adjustments that produce satisfying functional and aesthetic outcomes.
背景
经结膜入路是一种不涉及皮肤切口的有效治疗轻度至中度上睑下垂的方法。然而，该方法的术中评估较差，严重限制了其准确的手术操作。
目的
本研究旨在介绍一种改良的经结膜入路方法，通过灵活的术中调整来实现更精确的上睑下垂矫正。
方法
采用经结膜入路，用方结状褥式缝线折叠提上睑肌腱膜和 Müller 肌，进行灵活调整和准确矫正。
结果
在 18 例轻度上睑下垂眼睑中，94.5%（17 例）获得了充分或正常的矫正。在 9 例中度上睑下垂眼睑中，88.9%（8 例）获得了充分或正常的矫正。24 例上睑下垂患者中，23 例（95.8%）获得了良好或中等对称性结果。
结论
本研究提出了一种改良的经结膜技术，用于修复轻度至中度上睑下垂，其特点是术中调整灵活，可获得满意的功能和美学效果。
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