Upper Eyelid Contour Changes After Müller's Muscle Conjunctiva Resection.

Autor: Cruz AAV; School of Medicine of Ribeirão Preto- University of São Paulo, São Paulo, Brazil. aavecruz.fmrp@gmail.com.; Departamento de Oftalmologia, Hospital das Clínicas-Campus, São Paulo, SP, 14049-900, Brazil. aavecruz.fmrp@gmail.com., Lucena D; School of Medicine of Ribeirão Preto- University of São Paulo, São Paulo, Brazil., Equiterio B; School of Medicine of Ribeirão Preto- University of São Paulo, São Paulo, Brazil., Garcia DM; School of Medicine of Ribeirão Preto- University of São Paulo, São Paulo, Brazil., Sales-Sanz M; Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, Spain.; IMO Madrid, Grupo Miranza, Madrid, Spain., Devoto M; Somos Mirada, Buenos Aires, Argentina., Dolmetsch A; Clínica de Oftalmología de Cali, Cali, Colombia.; Pontificia Universidad Javeriana, Cali, Colombia., Pereira FJ; Clínica Dr Filipe Pereira, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Oct; Vol. 48 (19), pp. 3758-3764. Date of Electronic Publication: 2024 Jul 10.
DOI: 10.1007/s00266-024-04216-6
Abstrakt: Purpose: To analyze the upper eyelid contour after Müller's muscle conjunctiva resection (MMCR) performed by four different surgeons.
Methods: Comparative cross-sectional analysis of the pre- and postoperative contours of a control group and four groups of upper lids (n = 88) of 65 patients who underwent MMCR at four international centers. The procedure employed was essentially the same as described by Putterman but performed with different instruments to entrap the posterior lamella. Multiple medial and lateral margin lid distances were measured on Bézier lines expressing the pre- and postoperative lid contours.
Results: Preoperatively, two groups had significant lateral and medial ptosis. After MMCR, the lateral segment of the lid's contour was corrected in all groups. In the two groups with more pronounced ptosis, the nasal lid contour was undercorrected.
Conclusions: In MMCR, regardless of the instrument used to entrap the posterior lamella, the amount of medial tissue resection is essential to avoid postoperative nasal undercorrection.
Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
(© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
Databáze: MEDLINE
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