• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>British journal of ophthalmology >Posterior approach white line advancement ptosis repair: the evolving posterior approach to ptosis surgery.
【24h】

Posterior approach white line advancement ptosis repair: the evolving posterior approach to ptosis surgery.

机译：后入路白线进展性上睑下垂修复：后路入路的上睑下垂手术的发展。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

INTRODUCTION: We describe a surgical technique for ptosis correction in moderate to good levator function involving advancement of the levator aponeurosis via a transconjunctival posterior approach without resection of Muller's muscle. We present our experience of and the results from this method, and review the evolution of posterior approach ptosis surgery. PURPOSE: To assess the efficacy and predictability of posterior approach white line advancement ptosis repair. METHODS: Retrospective analysis of all patients with primary aponeurotic ptosis undergoing posterior-approach repair using white line advancement between December 2007 and June 2008. We describe a technique whereby after dissection of the Muller's conjunctiva composite flap, the levator aponeurosis is advanced with double-armed sutures through the white line, then through the tarsus and out through the skin. RESULTS: There were 112 ptosis procedures during this period, of which 71 eyelids of 41 patients were eligible for inclusion. There were 14 men and 27 women. The mean age was 63.76 (range 24-87) years. Minimum follow up was 3 months (range 12-43 weeks). Of the 71 procedures, 42 were combined with a blepharoplasty. Sixty-two achieved their desired lid height, contour and symmetry (87.3% success rate). No patients were overcorrected. Success rate in the phenylephrine-positive group (42/71) was 88.1% compared with 100% in phenylephrine-negative group (4/71). CONCLUSIONS: We present a modified approach to ptosis correction via a posterior approach. It has a high success rate and good cosmetic outcome. It is technically straightforward and easy to learn.
机译：引言：我们描述了一种在中度至良好的提肌功能中进行上睑下垂矫正的外科技术，包括通过结膜后后入路而未切除穆勒氏肌肉的方法来提振上睑腱膜。我们介绍了我们的经验和从这种方法的结果，并回顾了后路入路上睑下垂手术的演变。目的：评估后路入路白线进展性上睑下垂修复的疗效和可预测性。方法：回顾性分析2007年12月至2008年6月间所有使用白线推进术治疗的原发性腱膜下垂患者，采用Muller结膜复合瓣剥离后，双臂提拉上睑腱膜病缝线穿过白线，然后穿过骨，然后穿过皮肤。结果：在此期间共进行了112次上睑下垂手术，其中41例患者的71个眼睑符合纳入条件。男14例，女27例。平均年龄为63.76岁（范围24-87）。最小随访时间为3个月（范围12-43周）。在71例手术中，有42例合并了眼睑成形术。 62位使用者达到了所需的眼睑高度，轮廓和对称性（成功率87.3％）。没有患者被矫正过。去氧肾上腺素阳性组（42/71）的成功率为88.1％，而去氧肾上腺素阴性组（4/71）的成功率为100％。结论：我们提出了一种通过后路入路矫正上睑的改良方法。它具有很高的成功率和良好的美容效果。从技术上讲，它简单易学。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号