Clinical study of combined fascial sheath suspension and levator muscle shortening for bell phenomenon-negative severe ptosis
Objective To investigate the clinical efficacy of combined with fascial sheath suspension(CFS)and shortening of lev-ator(LM)in the treatment of bell-negative severe ptosis.Methods The clinical data of 10 patients(17 eyes)with severe blepharoptosis were reviewed.After cutting the skin along the design line,the tarsus were exposed by separating the orbicularis oculi muscle.The levator palpebrae superioris was separated,subconjunctival swelling anesthetized conjunctiva and Müller muscle,and the levator palpebrae supe-rioris and Müller muscle were peeled off.CFS was found along the upward separation of conjunctiva and Müller muscle,and the CFS and levator palpebrae were fixed in the middle and upper part of the tarsus with a 5-0 silk thread.A suture of the double eyelids was formed.Results Ten patients were followed up for 6 months,and there was no obvious regression or adverse reaction,with beautiful effect and high patient satisfaction.Conclusion CFS suspension combined with LM shortening was used to correct severe ptosis with satisfactory clinical effect and safe operation,which can be popularized and applied in clinical practice.
Combined fascial sheath suspension and levator muscle shorteningBell phenomenon-negativeSevere ptosisProg-nosis
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