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评估小儿全身麻醉下睑下垂手术术后上睑下垂改善情况与即刻发生的兔眼症之间的相关性。

Evaluating the Correlation between Ptosis Improvement and Immediate Postoperative Lagophthalmos following Blepharoptosis Surgery under General Anesthesia in Pediatric Patients.

作者信息

Jeong Jae Hoon, Park Chong Soo

机构信息

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam 13620, Republic of Korea.

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.

出版信息

J Clin Med. 2024 Feb 19;13(4):1173. doi: 10.3390/jcm13041173.

DOI:10.3390/jcm13041173
PMID:38398487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10889339/
Abstract

: The objective of this study is to establish a potential correlation between postoperative improvement in upper eyelid ptosis, measured by the marginal reflex distance 1 (MRD1), and the immediate postoperative degrees of lagophthalmos (IPDL). The established correlation is then used to assess whether IPDL can be used as a reliable indicator of successful treatment of eyelid ptosis. : This retrospective study involved 19 patients, aged 1 to 11, with a total of 28 eyes affected by ptosis, who underwent surgery under general anesthesia at Seoul National University Bundang Hospital from January 2018 to December 2022. We monitored the MRD1 of the patients for over six months postoperatively and measured the IPDL. : After ptosis correction surgery, no statistically significant correlation was observed between the improvement in MRD1 and IPDL. Furthermore, the degree of postoperative eyelid ptosis improvement was found to vary and was not consistently sustained, attributable to a range of factors. : Our study did not establish a statistically significant correlation between IPDL and ptosis improvement as measured by MRD1. Further research is needed to draw definitive conclusions about their correlation.

摘要

本研究的目的是通过边缘反射距离1(MRD1)测量,建立上睑下垂术后改善与术后即刻睑裂闭合不全程度(IPDL)之间的潜在相关性。然后,利用所建立的相关性来评估IPDL是否可作为睑下垂治疗成功的可靠指标。:这项回顾性研究纳入了19例年龄在1至11岁之间、共28只眼睛受上睑下垂影响的患者,这些患者于2018年1月至2022年12月在首尔国立大学盆唐医院接受了全身麻醉下的手术。我们在术后六个月以上监测了患者的MRD1,并测量了IPDL。:上睑下垂矫正手术后,未观察到MRD1改善与IPDL之间存在统计学上的显著相关性。此外,术后上睑下垂改善程度存在差异且未持续稳定,这归因于一系列因素。:我们的研究未在IPDL与通过MRD1测量的上睑下垂改善之间建立统计学上的显著相关性。需要进一步研究以得出关于它们相关性的确切结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/b8277085de22/jcm-13-01173-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/ec8d41d60960/jcm-13-01173-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/4c7aaf13942b/jcm-13-01173-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/9b102edd8937/jcm-13-01173-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/a9fd94af9f74/jcm-13-01173-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/b8277085de22/jcm-13-01173-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/ec8d41d60960/jcm-13-01173-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/4c7aaf13942b/jcm-13-01173-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/9b102edd8937/jcm-13-01173-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/a9fd94af9f74/jcm-13-01173-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83df/10889339/b8277085de22/jcm-13-01173-g005.jpg

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本文引用的文献

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J Craniofac Surg. 2023;34(2):580-583. doi: 10.1097/SCS.0000000000008838. Epub 2022 Jul 29.
2
Minimal Dissection Direct Frontalis Muscle Advancement Flap for Congenital Ptosis Repair.微创解剖直接额肌前徙术治疗先天性上睑下垂。
J Craniofac Surg. 2021 Oct 1;32(7):2358-2361. doi: 10.1097/SCS.0000000000007761.
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Update on anaesthesia for paediatric ophthalmic surgery.小儿眼科手术麻醉的最新进展
BJA Educ. 2021 Jan;21(1):32-38. doi: 10.1016/j.bjae.2020.09.002. Epub 2020 Nov 5.
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The anterior layer of the levator aponeurosis in blepharoptosis correction.提上睑肌腱膜前层在眼睑下垂矫正术中的应用。
J Plast Reconstr Aesthet Surg. 2021 Jun;74(6):1309-1315. doi: 10.1016/j.bjps.2020.10.040. Epub 2020 Nov 14.
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Clinical efficacy of conjoint fascial sheath suspension and frontalis muscle suspension in treating moderate or severe congenital ptosis and the effects on ocular surface and refractive status.联合筋膜鞘悬吊术与额肌悬吊术治疗中重度先天性上睑下垂的临床疗效及对眼表和屈光状态的影响
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