Comparison of Two Polypropylene Frontalis Suspension Techniques in 92 Patients With Oculopharyngeal Muscular Dystrophy
| Autor: | Isabelle Hardy, Xi Huang, Evan Kalin-Hajdu, François Codère, Liat Attas-Fox |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Adult Blepharoplasty Male medicine.medical_specialty Sling (implant) medicine.medical_treatment Operative Time Frontalis suspension Polypropylenes Oculopharyngeal muscular dystrophy 03 medical and health sciences 0302 clinical medicine Ptosis Muscular Dystrophy Oculopharyngeal Recurrence Chart review medicine Blepharoptosis Humans Aged Retrospective Studies business.industry Suture Techniques Eyelids Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Ophthalmology 030104 developmental biology Oculomotor Muscles 030221 ophthalmology & optometry Operative time Female medicine.symptom business |
| Zdroj: | Ophthalmic plastic and reconstructive surgery. 33(1) |
| ISSN: | 1537-2677 |
| Popis: | PURPOSE To compare the functional outcome of the polypropylene trapezoid frontalis suspension with the polypropylene modified Crawford frontalis suspension in a large cohort of patients with oculopharyngeal muscular dystrophy. METHODS Retrospective, nonrandomized comparative case series. Patients with oculopharyngeal muscular dystrophy who underwent bilateral polypropylene frontalis suspension were selected for chart review. Main outcome measures were margin reflex distance, duration of surgery, and ptosis recurrence. RESULTS Ninety-two patients qualified for chart review; 39 patients underwent the trapezoid sling and 53 patients the modified Crawford sling. There was no difference in preoperative margin reflex distance or levator function between the 2 surgical groups. Postoperative improvement in margin reflex distance was 2.95 ± 1.56 mm in the trapezoid group compared with 2.85 ± 1.65 mm in the modified Crawford group (p = 0.67). Duration of surgery was 40.49 ± 13.33 minutes in the trapezoid group compared with 53.77 ± 16.04 minutes in the modified Crawford group (p < 0.001). Five percent of eyes in the trapezoid group had ptosis recurrence compared with 13% of eyes in the modified Crawford group (p = 0.07). CONCLUSION Both polypropylene frontalis suspension techniques generated an equivalent increase in margin reflex distance. However, the trapezoid frontalis suspension required less operative time and trended toward a lower rate of ptosis recurrence. |
| Databáze: | OpenAIRE |
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