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发表评论 经结膜入路行Müller肌切除术中白线移动性的评估测试
- 作者: Potyomkin V.1,2, Goltsman E.2
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隶属关系:
- Pavlov First Saint Petersburg State Medical University
- City Ophthalmologic Center of City hospital No. 2
- 期: 卷 12, 编号 4 (2019)
- 页面: 87-91
- 栏目: In ophthalmology practitioners
- URL: https://journals.rcsi.science/ov/article/view/15811
- DOI: https://doi.org/10.17816/OV15811
- ID: 15811
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详细
背景：众所周知，治疗轻度及中度上睑下垂睑板肌(STM)（又称Müller肌）切除术的主要适应证是去氧肾上腺素试验 (PHE) 呈阳性。但是，最近有研究表明，STM切除术可以在PHE试验呈弱阳性和阴性的情况下进行。然而，根据类似的PHE试验结果，关于外科医生在规划STM切除术时应参考哪些标准的问题仍然没有定论。作者开发了一个测试来评估白线的活动性，并帮助回答这个问题。
材料与方法：研究过程中对75例患者 (103个眼睑) 进行了检查，研究对象是在2017年11月至2019年8月期间由市第二综合医院第五显微眼外科为手术治疗上睑下垂而收治入院的。
结果：PHE试验呈阳性反应的患者术后结果对白线移动性并无明显依赖性，而呈阴性和弱阳性反应的患者则表现出明显的依赖性。
结论：白线移动性的评估测试是判断对PHE试验呈阴性和弱阳性反应患者Müller肌切除量的参考标准。
作者简介
Vitaly Potyomkin
Pavlov First Saint Petersburg State Medical University; City Ophthalmologic Center of City hospital No. 2
Email: potem@inbox.ru
PhD, Assistant Professor, Department of Ophthalmology; Ophthalmologist
俄罗斯联邦, Saint PetersburgElena Goltsman
City Ophthalmologic Center of City hospital No. 2
编辑信件的主要联系方式.
Email: ageeva_elena@inbox.ru
ophthalmologist
俄罗斯联邦, Saint Petersburg参考
- Fasanella RM, Servat J. Levator resection for minimal ptosis: another simplified operation. Arch Ophthalmol. 1961;65(4):493-496. https://doi.org/10.1001/archopht.1961.01840020495005.
- Blaskovics L. A new operation for ptosis with shortening of the levator and tarsus. Arch Ophthalmol. 1923;52:563.
- Glatt HJ, Fett DR, Putterman AM. Comparison of 2.5 % and 10 % phenylephrine in the elevation of upper eyelids with ptosis. Ophthalmic Surg. 1990;21(3):173-176.
- Ben Simon GJ, Lee S, Schwarcz RM, et al. Müller’s Muscle-conjunctival resection for correction of upper eyelid ptosis: relationship between phenylephrine testing and the amount of tissue resected with final eyelid position. Arch Facial Plast Surg. 2007;9(6):413-417. https://doi.org/10.1001/archfaci.9.6.413.
- Baldwin HC, Bhagey J, Khooshabeh R. Open sky Muller muscle-conjunctival resection in phenylephrine test-negative blepharoptosis patients. Ophthalmic Plast Reconstr Surg. 2005;21(4): 276-280. https://doi.org/10.1097/01.iop.0000167789.39570.3e.
- Peter NM, Khooshabeh R. Open-sky isolated subtotal Muller’s muscle resection for ptosis surgery: a review of over 300 cases and assessment of long-term outcome. Eye (Lond). 2013;27(4):519-524. https://doi.org/10.1038/eye.2012.303.
- Manson PN, Lazarus RB, Morgan R, Iliff N. Pathways of sympathetic innervation to the superior and inferior (Müller’s) tarsal muscles. Plast Reconstr Surg. 1986;78(1):33-40. https://doi.org/10.1097/00006534-198607000-00004.
- Kuwabara T, Cogan DG, Johnson CC. Structure of the muscles of the upper eyelid. Arch Ophthalmol. 1975;93(11):1189-1197. https://doi.org/10.1001/archopht.1975.01010020889012.
- Esperidião-Antonio V, Conceição-Silva F, De-Ary-Pires B, et al. The human superior tarsal muscle (Müller’s muscle): a morphological classification with surgical correlations Anat Sci Int. 2010;85(1):1-7. https://doi.org/10.1007/s12565-009-0043-0.
- Patel V, Salam A, Malhotra R. Posterior approach white line advancement ptosis repair: the evolving posterior approach to ptosis surgery. Br J Ophthalmol. 2010;94(11):1513-1518. https://doi.org/10.1136/bjo.2009.172353.
- Ichinose A, Leibovitch I. Transconjunctival levator aponeurosis advancement without resection of Müller’s muscle in aponeurotic ptosis repair. Open Ophthalmol J. 2010;4:85-90. https://doi.org/10.2174/1874364101004010085.
- Perry JD, Kadakia A, Foster JA. A new algorithm for ptosis repair using conjunctival Müllerectomy with or without tarsectomy. Ophthalmic Plast Reconstr Surg. 2002;18(6):426-429. https://doi.org/10.1097/00002341-200211000-00007.
- Lake S, Mohammad-Ali FH, Khooshabeh R. Open sky Müller’s muscle-conjunctiva resection for ptosis surgery. Eye (Lond). 2003;17(9):1008-1012. https://doi.org/10.1038/sj.eye. 6700623.
- Dresner SC. Further modifications of the Müller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthalmic Plast Reconstr Surg. 1991;7(2):114-122. https://doi.org/10.1097/00002341-199106000-00005.
- Rootman DB, Karlin J, Moore G, Goldberg R. The role of tissue resection length in the determination of post-operative eyelid position for Muller’s muscle-conjunctival resection surgery. Orbit. 2015;34(2):92-98. https://doi.org/10.3109/01676830.2014. 999096.
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