| Autor: |
Radke PM; Allure Laser Center & Medispa , Kirkland, Washington, USA.; Department of Ophthalmology, University of Washington , Seattle, Washington, USA., Rubinstein TJ; Allure Laser Center & Medispa , Kirkland, Washington, USA.; Ophthalmic Plastic Surgery, Albany Medical Center , Albany, New York, USA., Repp DJ; Allure Laser Center & Medispa , Kirkland, Washington, USA.; Oculofacial Aesthetics, PLC , Davenport, Iowa, USA., Sires BS; Allure Laser Center & Medispa , Kirkland, Washington, USA.; Department of Ophthalmology, University of Washington , Seattle, Washington, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Orbit (Amsterdam, Netherlands) [Orbit] 2021 Feb; Vol. 40 (1), pp. 24-29. Date of Electronic Publication: 2020 Feb 12. |
| DOI: |
10.1080/01676830.2020.1725064 |
| Abstrakt: |
Purpose : To directly compare an algorithmic external levator resection technique with the choice of intraoperative adjustment to the same technique without intraoperative adjustments. Methods : A sequential controlled prospective comparative cohort study. Two cohorts were compared: a historical control adjustment, and an experimental non-adjustment group. Fourteen patients, 25 eyelids, were in the historical cohort; and 15 patients, 23 eyelids, were in the non-adjustment cohort. Primary acquired ptosis patients who met inclusion criteria were considered. All patients underwent a standardized external levator resection technique. Intraoperative adjustments were performed only in the historical cohort. Age, follow-up time, surgical time, and marginal reflex distance 1 (MRD1) were collected. Statistical analysis was performed using the Mann-Whitney U test. Statistical significance was p < 0.05. Primary and secondary outcome measures were postoperative MRD1 minus goal MRD1, and surgical time, respectively. Results : Twenty-five historical eyelids were compared with 23 non-adjusted eyelids. The average patient age was 68.4 years (range 19-84) and 59.3 years (range 24-83) for the adjusted and non-adjusted groups. Six-month postoperative (postoperative minus goal) MRD1 was -0.1 mm (95% CI -0.3-0.1) and -0.2 mm (95% -0.5-0.0) ( p = 0.33), and surgical time was 13.8 min (95% CI 12.6-15.1) and 9.5 min (95% CI 9.0-10.1) ( p < 0.001) for the adjusted and non-adjusted cohort, respectively. Conclusions : The external levator resection, utilizing a standardized algorithm approach, is an efficacious technique for involutional eyelid ptosis. With sound technique, this method can be performed without the need for intraoperative adjustment, thereby saving operative time and achieving similar results. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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