Application of improved combined fascial sheath suspension and levator muscle shortening surgery in severe ptosis of the upper eyelid
Objective To Study the clinical effectiveness of the modified suspension of the combined fascia sheath(CFS)and shortening of the levator muscle complex in the treatment of severe ptosis.Methods From January 2022 to May 2023,18 patients with severe ptosis treated with modified CFS suspension combined with levator muscle complex shortening surgery at the Medical Aesthetics Department of Beijing Fengtai You'anmen Hospital were selected as the observation group,and another 18 patients with severe ptosis treated with standard CFS suspension combined with levator muscle complex shortening surgery during the same period were selected as the control group.The observation group's surgical method was improved from the standard procedure,which did not directly separate the levator muscle aponeurosis at the upper edge of the meibomian plate,but instead cut open the levator muscle aponeurosis above the transverse ligament and exposed CFS.Compare the differences between two groups of patients in terms of postoperative palpebral fissure height(PFH),margin regles distance 1(MRD1),postoperative complication rate,and satisfaction.Results The PFH and MRD1 values of two groups of patients were measured at 1,3,and 12 months after surgery,and compared between the groups.There was no statistically significant difference(P>0.05).The incidence of complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction level of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The improved combination of fascial sheath suspension and levator muscle shortening surgery for the treatment of severe ptosis has the advantages of safety,high efficiency,stable therapeutic effect,and few complications.This method is worth promoting and applying in clinical practice.
conjoint fascial sheathshortening of levator palpebrae superioris muscleimproved surgical techniquesevere ptosis of the upper eyelid
万方数据
维普
