Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension
AIM: To compare the outcomes of severe congenital ptosis treated with levator shortening and frontalis muscle flap suspension.<p>METHODS: Forty cases(58 eyes)with severe congenital ptosis were retrospective analyzed. Shortening levator muscle of upper eyelid was conducted in 30 eyes, and 28 ey...
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Press of International Journal of Ophthalmology (IJO PRESS)
2015-11-01
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Series: | Guoji Yanke Zazhi |
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Online Access: | http://ies.ijo.cn/cn_publish/2015/11/201511050.pdf |
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author | Xiao-Rong Guan Yong-Xiao Dong Shao-Hua Zhang Kun Lai Xiao-Li Pu Fang Fu Jian-Ying Du |
author_facet | Xiao-Rong Guan Yong-Xiao Dong Shao-Hua Zhang Kun Lai Xiao-Li Pu Fang Fu Jian-Ying Du |
author_sort | Xiao-Rong Guan |
collection | DOAJ |
description | AIM: To compare the outcomes of severe congenital ptosis treated with levator shortening and frontalis muscle flap suspension.<p>METHODS: Forty cases(58 eyes)with severe congenital ptosis were retrospective analyzed. Shortening levator muscle of upper eyelid was conducted in 30 eyes, and 28 eyes were treated with frontalis muscle flap suspension. All cases were followed up for 6mo. The ptosis correction rates were analyzed. Post-operative complications such as blepharelosis, hypophasis, exposure keratitis and conjunctival prolapse were recorded.<p>RESULTS: There was no statistically significant difference in the complete correction rate between levator shortening group and frontalis muscle flap suspension group(83% <i>vs</i> 82%, <i>P</i>>0.05). However, the levator shortening had better appearance and fewer complications, such as blepharelosis(0 <i>vs</i> 3), hypophasis(15 <i>vs</i> 23), exposure keratitis(1 <i>vs</i> 2), and conjunctival prolapse(2 <i>vs</i> 3)at 6mo after surgeries.<p>CONCLUSION: Both the operations are effective on the treatment of severe congenital ptosis. However, levator shortening surgery leads to fewer complications and better appearance. |
first_indexed | 2024-04-14T02:54:43Z |
format | Article |
id | doaj.art-5cc7d51ede6049ff80ce4aabda6fe5b0 |
institution | Directory Open Access Journal |
issn | 1672-5123 1672-5123 |
language | English |
last_indexed | 2024-04-14T02:54:43Z |
publishDate | 2015-11-01 |
publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
record_format | Article |
series | Guoji Yanke Zazhi |
spelling | doaj.art-5cc7d51ede6049ff80ce4aabda6fe5b02022-12-22T02:16:09ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232015-11-0115112015201710.3980/j.issn.1672-5123.2015.11.50Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspensionXiao-Rong Guan0Yong-Xiao Dong1Shao-Hua Zhang2Kun Lai3Xiao-Li Pu4Fang Fu5Jian-Ying Du6Department of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaDepartment of Ophthalmology, the First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, ChinaAIM: To compare the outcomes of severe congenital ptosis treated with levator shortening and frontalis muscle flap suspension.<p>METHODS: Forty cases(58 eyes)with severe congenital ptosis were retrospective analyzed. Shortening levator muscle of upper eyelid was conducted in 30 eyes, and 28 eyes were treated with frontalis muscle flap suspension. All cases were followed up for 6mo. The ptosis correction rates were analyzed. Post-operative complications such as blepharelosis, hypophasis, exposure keratitis and conjunctival prolapse were recorded.<p>RESULTS: There was no statistically significant difference in the complete correction rate between levator shortening group and frontalis muscle flap suspension group(83% <i>vs</i> 82%, <i>P</i>>0.05). However, the levator shortening had better appearance and fewer complications, such as blepharelosis(0 <i>vs</i> 3), hypophasis(15 <i>vs</i> 23), exposure keratitis(1 <i>vs</i> 2), and conjunctival prolapse(2 <i>vs</i> 3)at 6mo after surgeries.<p>CONCLUSION: Both the operations are effective on the treatment of severe congenital ptosis. However, levator shortening surgery leads to fewer complications and better appearance.http://ies.ijo.cn/cn_publish/2015/11/201511050.pdfptosissurgerylevator shorteningfrontalis muscle flap suspension |
spellingShingle | Xiao-Rong Guan Yong-Xiao Dong Shao-Hua Zhang Kun Lai Xiao-Li Pu Fang Fu Jian-Ying Du Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension Guoji Yanke Zazhi ptosis surgery levator shortening frontalis muscle flap suspension |
title | Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
title_full | Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
title_fullStr | Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
title_full_unstemmed | Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
title_short | Efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
title_sort | efficacy comparison of severe congenital ptosis treated with excessive levator shortening and frontalis muscle flap suspension |
topic | ptosis surgery levator shortening frontalis muscle flap suspension |
url | http://ies.ijo.cn/cn_publish/2015/11/201511050.pdf |
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