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首页> 外文期刊>Transactions of the American Ophthalmological Society. >Cosmetic outcome of posterior approach ptosis surgery (an American Ophthalmological Society thesis).
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Cosmetic outcome of posterior approach ptosis surgery (an American Ophthalmological Society thesis).

机译：后入路眼睑下垂手术的美容效果（美国眼科协会论文）。

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To test the hypothesis that posterior approach ptosis surgery, with or without blepharoplasty, can improve the cosmetic appearance of the eyelid.In a retrospective, observational, consecutive case cohort study, 261 patients who had posterior approach upper eyelid ptosis surgery with or without concurrent blepharoplasty performed by one surgeon, between 1997 and 2009, were reviewed. Patients were included if they had symmetric eyelid position within 1.5 mm at 3 months after surgery. Outcome measures were subjective grading of eyelid margin contour, millimeters of tarsal platform show (TPS), and millimeters of eyebrow fat span (BFS). Paired preoperative and postoperative standardized photographs were viewed in masked fashion by three experts.One hundred and forty patients (55 men, 85 women, mean age 70 years, range 20-93) who underwent 233 posterior approach procedures for correction of upper eyelid ptosis had postoperative eyelid symmetry within 1.5 mm. Concurrent blepharoplasty was performed in 67 cases. Eyelid contour scores were significantly improved following surgery (P=.009). Ptosis surgery, without blepharoplasty, decreased the TPS, from 6.1±2.5 mm to 4.8±2.0 mm (P<.001). Patients who underwent concurrent blepharoplasty had a statistically insignificant increase of TPS from 4.0±3.5 mm to 4.3±3.6 mm, had a decrease of BFS from 20.8±6.3 mm to 17.7±6.4 mm (P=.001), and showed similar BFS symmetry postoperatively, compared to patients who had ptosis surgery only.posterior approach surgery alone was often successful in controlling TPS: it shortened the TPS. Blepharoplasty combined with posterior approach ptosis surgery tended to lengthen the TPS and shorten the BFS.
机译：为了检验以下假设，即有无眼睑成形术后路上睑下垂手术可以改善眼睑的外观。在一项回顾性观察性连续病例队列研究中，对261例有上眼睑后路睑下垂手术并发或无并发眼睑成形术的患者进行了回顾性研究。回顾了一名外科医生在1997年至2009年之间进行的手术。如果患者术后3个月内眼睑位置对称于1.5毫米，则将其包括在内。结果指标是眼睑边缘轮廓的主观评分、,平台显示毫米（TPS）和眉脂跨度（BFS）毫米。由三位专家遮掩地查看了术前和术后的配对标准照片。接受了233次后入路矫正上睑睑下垂手术的患者140例（男55例，女85例，平均年龄70岁，范围20-93）。术后眼睑对称性在1.5mm以内。 67例同时进行眼睑成形术。手术后眼睑轮廓评分明显改善（P = .009）。无睑成形术的眼睑下垂术将TPS从6.1±2.5 mm降低至4.8±2.0 mm（P <.001）。并发眼睑整形术患者的TPS从4.0±3.5 mm升高到4.3±3.6 mm统计学上无统计学意义，BFS从20.8±6.3 mm降低到17.7±6.4 mm（P = .001），并且表现出相似的BFS对称性与仅进行上睑下垂手术的患者相比，术后仅靠后入路手术通常可以成功控制TPS：缩短了TPS。眼睑成形术联合后路入路下垂手术往往会延长TPS并缩短BFS。

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