Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2024 Oct 1;72(10):1512-1515. doi: 10.4103/IJO.IJO_2766_23. Epub 2024 Sep 27.
This was a prospective, interventional, comparative study conducted on patients with congenital simple severe ptosis. A novel method of silicone rod fixation to the tarsus (tarsal tunnel technique, group 1) was done compared with a conventional technique of silicone rod fixation (suture fixation technique, group 2) in frontalis suspension surgery. A total of 30 patients were randomized into two groups of 15 patients each. Postoperatively, MRD1, vertical palpebral aperture, and eyelid fold height were comparable in both groups till the last follow-up with stability in eyelid position. Patient satisfaction scores showed similar results with good-fair satisfaction grading in 13 patients in group 1 and 11 patients in group 2 at 6 months follow-up. No significant complications occurred in either group. Tarsal tunnel fixation of silicone rods is a novel method in sling surgery with optimal cosmetic and function outcomes. Further long-term studies are needed to validate the results of the technique.
这是一项前瞻性、干预性、对比研究，针对的是先天性单纯性重度上睑下垂患者。我们比较了一种新的将硅棒固定在睑板（隧道技术，第 1 组）的方法和一种传统的将硅棒固定在前额肌（缝线固定技术，第 2 组）的方法，用于提上睑肌悬吊术。共有 30 名患者被随机分为两组，每组 15 名。术后，直到最后一次随访，两组患者的 MRD1、垂直睑裂和眼睑折叠高度均无差异，且眼睑位置稳定。患者满意度评分显示，第 1 组中有 13 名患者和第 2 组中有 11 名患者在 6 个月随访时的满意度评级为良好到一般。两组均未发生明显并发症。硅棒隧道固定是一种新型的吊带手术方法，具有最佳的美容和功能效果。需要进一步的长期研究来验证该技术的结果。
