The Modified Fasanella-Servat Procedure
| Autor: | Steven C. Dresner, Christianne J. Lane, David B. Samimi, Melanie H. Erb |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Corneal abrasion Ophthalmologic Surgical Procedures Procedure description Young Adult Postoperative Complications Ptosis medicine Blepharoptosis Humans Child Intraoperative Complications Aged Retrospective Studies Aged 80 and over Retrospective review Blinking Conjunctival resection business.industry Suture Techniques Levator function Eyelids General Medicine Middle Aged Nomogram medicine.disease Surgery body regions Nomograms Ophthalmology Treatment Outcome medicine.anatomical_structure Child Preschool Female sense organs Eyelid medicine.symptom business Follow-Up Studies |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 29:30-34 |
| ISSN: | 0740-9303 |
| Popis: | Purpose: To describe a modified Fasanella-Servat procedure and nomogram for the correction of minimal amounts of ptosis. Methods: Retrospective review of this modified FasanellaServat procedure was performed on 118 eyelids in 86 consecutive patients over 2, 4-year periods by 1 surgeon (S.C.D.). The amount of tarsectomy was based on the amount of ptosis. Results: Mean pre- and postoperative margin-to-reflex distance 1 were +0.7 mm and +2.4mm, respectively. One hundred and twelve eyelids (95%) had satisfactory results with postoperative margin-to-reflex distance 1 ≥ 1.5 mm. Eyelid symmetry was achieved in 92% of eyelids to within 0.5 mm. There was no incidence of overcorrection, tarsal buckling, or corneal abrasion. One eyelid had a contour deficit. Tarsectomy amount ranged from 2 mm to 5 mm. Average amount of tarsectomy to eyelid elevation was 2.4:1. Conclusions: The modified Fasanella-Servat procedure is technically easy, time-efficient, and has a low complication rate for the treatment of minimal blepharoptosis (< 2.5 mm) with good levator function and negative phenylephrine test. In the authors’ hands, the ratio of tarsectomy to eyelid elevation is approximately 2:1. In addition to other techniques such as levator advancement and Muller’s muscle conjunctival resection, the modified Fasanella-Servat technique is a useful adjunct to the modern ptosis surgeon’s armamentarium. |
| Databáze: | OpenAIRE |
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