Outcomes of Adult Aponeurotic Ptosis Repair Under General Anaesthesia by a Posterior Approach White-Line Levator Advancement

作者: Raman Malhotra , Aysha Salam

DOI: 10.3109/01676830.2011.628434

关键词: Tarsus (eyelids)Aponeurotic ptosisWhite lineMedicineLocal anaestheticEyelidAponeurosisPosterior approachGeneral anaesthesiaSurgery

摘要: Aponeurotic ptosis surgery is conventionally performed under local anaesthetic to allow adjustment of eyelid height and contour. This may not be possible where general anaesthesia (GA) required.Purpose: We describe our experience using a tranconjunctival posterior approach “white-line” levator advancement (WLA) in patients undergoing aponeurotic correction GA.Materials Methods: Retrospective review consecutive series 20 with primary WLA repair GA. The procedure involves exposing the surface aponeurosis through tarsus onto its anterior if exposed already, or skin. All underwent pre- postoperative photographs final outcomes were assessed at minimum 3 months. Outcome measures included post-marginal reflex distance (MRD), symmetry height, contour, fold complications including dry eye.Results: Twenty 40 proc...

参考文章(23)
Timothy J. McCulley, Robert C. Kersten, Dwight R. Kulwin, William J. Feuer, Outcome and influencing factors of external levator palpebrae superioris aponeurosis advancement for blepharoptosis Ophthalmic Plastic and Reconstructive Surgery. ,vol. 19, pp. 388- 393 ,(2003) , 10.1097/01.IOP.0000087071.78407.9A
Akihiro Ichinose, Shinya Tahara, Transconjunctival levator aponeurotic repair without resection of Müller's muscle. Aesthetic Plastic Surgery. ,vol. 31, pp. 279- 284 ,(2007) , 10.1007/S00266-006-0202-9
Eva Ayala, Carlos Gálvez, Miguel González-Candial, Ramón Medel, Predictability of ConjunctivalMüellerectomy for Blepharoptosis Repair Orbit. ,vol. 26, pp. 217- 221 ,(2007) , 10.1080/01676830601169205
R. M. FASANELLA, J. SERVAT, Levator resection for minimal ptosis: another simplified operation. Archives of Ophthalmology. ,vol. 65, pp. 493- 496 ,(1961) , 10.1001/ARCHOPHT.1961.01840020495005
Bahman Guyuron, Brian Davies, Experience with the modified Putterman procedure. Plastic and Reconstructive Surgery. ,vol. 82, pp. 775- 780 ,(1988) , 10.1097/00006534-198811000-00008
Nicolò Scuderi, Stefano Chiummariello, Federico De Gado, Carmine Alfano, GianLuca Scuderi, Santi Maria Recupero, Surgical correction of blepharoptosis using the levator aponeurosis-Müller's muscle complex readaptation technique: a 15-year experience. Plastic and Reconstructive Surgery. ,vol. 121, pp. 71- 78 ,(2008) , 10.1097/01.PRS.0000293878.26535.DE
E Scoppettuolo, V Chadha, C Bunce, J M Olver, M Wright, , British Oculoplastic Surgery Society (BOPSS) National Ptosis Survey British Journal of Ophthalmology. ,vol. 92, pp. 1134- 1138 ,(2008) , 10.1136/BJO.2007.132746
L. DE BLASKOVICS, TREATMENT OF PTOSIS Archives of Ophthalmology. ,vol. 1, pp. 672- 680 ,(1929) , 10.1001/ARCHOPHT.1929.00810010698002