Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids

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• 作者：Seungil Chung ; Byungjoon Ahn ; Wonyong Yang ; Jinsik Bum…
• 关键词：Sleepy eye ; Blepharoptosis correction ; Müller tucking
• 刊名：Aesthetic Plastic Surgery
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：39
• 期：1
• 页码：17-24
• 全文大小：946 KB
• 参考文献：1. Park SG, Lee SK, Baek RM (2006) A new interpretation of ptosis-like eyes through the results of small-incision double-eyelid operation. J Korean Soc Plast Reconstr Surg 33(4):449-53 Korean
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  15. Baik BS, Suhk JH, Choi WS, Yang WS (2009) Treatment of blepharoptosis by the advancement procedure of the muller’s muscle-levator aponeurosis composite flap. J Korean Soc Plast Reconstr Surg 36(2):211-20 Korean
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  17. Park DH, Baik BS (2008) Advancement of the Müller muscle-levator aponeurosis composite flap for correction of blepharoptosis. Plast Reconstr Surg 122(1):140-42 CrossRef
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  24. Park DH, Baik BS, Na
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Plastic Surgery
  Otorhinolaryngology
  
• 出版者：Springer New York
• ISSN：1432-5241

文摘

Background The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement and change in the eyelid position (MRD1). Methods The medical records of 290 consecutive patients who underwent retrotarsal tucking of Müller muscle-levator aponeurosis from February 2005 to November 2011 were reviewed. Of those, 26 patients (51 eyelids) were statistically analyzed. The correction was performed through an external upper blepharoplasty approach. Once the orbital septum was opened, the Müller muscle-levator aponeurosis was advanced and tucked under the posterior surface of the tarsus by a single lifting suture. The average follow-up period was 20.6?months, with a range of 3-8?months. Results In 26 patients (51 eyelids), satisfactory results were recorded for 49 of 51 eyelids (96.1?%). The margin reflex distance-1 (MRD1) increased from 1.56?±?0.70?mm preoperatively to 3.86?±?0.94?mm postoperatively (p?1 of 1?mm was achieved. For 7.2 and 8.3?mm of advancement, the average MRD1 achieved was 2 and 3?mm each. A noteworthy complication, although not included in statistical analysis, was one patient who had developed corneal irritation caused by the conjunctival exposure to the non-absorbable suture 3?years after the surgery, which led the subject to have the suture removed. Conclusion The author concludes that this procedure is one of the most effective surgical options in correcting borderline to moderate blepharoptosis in conjunction with esthetic blepharoplasty. The main advantage of such a method is that once the orbital septum is opened, Müller muscle-levator aponeurosis is easily advanced and tucked under the posterior surface of the tarsal plate without extensive dissection or resection, which is less traumatic and gives a more vertical lifting vector, thus producing excellent cosmetic results and quick recovery. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.