A Modified Approach to Transconjunctival Levator Advancement Offering Intraoperative Options
| Autor: | Xianyu Zhou, Zhizhong Deng, Fei Liu, Yucheng Qiu, Jun Yang, Lin Lu, Rui Jin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Intra operative Mattress suture Skin incision business.industry General Medicine Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Surgical Manipulation Ptosis 030220 oncology & carcinogenesis 030221 ophthalmology & optometry medicine Transconjunctival approach Aponeurosis Eyelid medicine.symptom business |
| Zdroj: | Aesthetic Surgery Journal. 41:NP1014-NP1020 |
| ISSN: | 1527-330X 1090-820X |
| DOI: | 10.1093/asj/sjab118 |
| Popis: | Background The transconjunctival technique is an effective approach to mild to moderate blepharoptosis repair that does not involve skin incision. However, accurate surgical manipulation of this method is greatly restricted by poor intraoperative evaluation. Objectives The aim of this study was to introduce a modified transconjunctival approach with flexible intraoperative adjustments in order to achieve more accurate ptosis correction. Methods Taking a transconjunctival approach, the levator aponeurosis and Müller’s muscle were folded with a square-like mattress suture for flexible adjustment and accurate correction. Results In 18 mild ptosis eyelids, 94.5% (17 eyelids) achieved adequate or normal correction. In 9 eyelids with moderate ptosis, 88.9% (8 eyelids) achieved adequate or normal correction. Of 24 ptosis patients, 23 (95.8%) achieved a good or fair symmetry result. Conclusions This study presents a modified transconjunctival technique for repair of mild to moderate ptosis, which is characterized by flexible intraoperative adjustments that produce satisfying functional and aesthetic outcomes. Level of Evidence: 4 |
| Databáze: | OpenAIRE |
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