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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Main Authors: Xiao-Rong Guan, Yong-Xiao Dong, Shao-Hua Zhang, Kun Lai, Xiao-Li Pu, Fang Fu, Jian-Ying Du
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2015-11-01
Series:Guoji Yanke Zazhi
Subjects:
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.
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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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