影响上睑下垂患者行上睑板肌切除术的主要预后因素

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅存取

详细

经结膜入路矫正上睑下垂的方法已经越来越普遍。然而，其广泛应用主要约束是因为没有明确的手术切除量的标准，尤其是对去氧肾上腺素检测反应呈阴性的患者。

目的. 评估影响上睑板肌（STM）切除术的一些因素。

材料和方法. 研究过程中对75例（103只眼睑）接受手术治疗上睑下垂的患者进行了检查。根据去氧肾上
腺素（PE）的测试结果将患者分为2组。第一组包括PE测试呈阳性的患者，第二组包括PE测试呈弱阳性的患者。所有的患者均接受了“开放天空”式STM切除术，在某些情况下还结合上睑板切除。

结果. PE测试和白线活动度会影响STM切除术的结果，而其他因素则不会。

结论. PE测试和白线活动度对上睑下垂矫正方法的选择具有重要意义。

作者简介

Elena Goltsman

City Multidisciplinary 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

Vitaly Potemkin

City Multidisciplinary Hospital No. 2, Academican I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: potem@inbox.ru

PhD, Assistant Professor. Department of Ophthalmology; Ophthalmologist

俄罗斯联邦, Saint Petersburg

Dmitriy Davydov

Peoples’ Friendship University of Russia

Email: d-davydov3@yandex.ru

MD, PhD, DMedSc, Professor, Head of Department, Reconstructive Surgery Department with Ophthalmology Course

俄罗斯联邦, Moscow

参考

  1. Finsterer J. Ptosis: causes, presentation, and management. Aesth Plast Surg. 2003;27(3):193-204. https://doi.org/10.1007/s00266-003-0127-5.
  2. Edmonson BC, Wulc AE. Ptosis evaluation and management. Otolaryngol Clin N Am. 2005;38(5):921-946. https://doi.org/10.1016/j.otc.2005.08.012.
  3. Crawford JS. Repair of ptosis using frontalis muscles and fascia lata a 20-year review. Ophthalmic Surg. 1977;8(4):31-40.
  4. Rycroft BW. The transconjunctival and transcutaneous approach to levator resection in the treatment of ptosis. In: Troutman R, Converse J, Smith B, editors. Plastics and reconstructive surgery of the eye and adenexa. London: Butter-worth; 1962.
  5. 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.
  6. 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.
  7. Lake S, Mohammad-Ali FH, Khooshabeh R. Open sky Müller’s muscle-conjunctiva resection for ptosis surgery. Eye. 2003;17(9):1008-1012. https://doi.org/10.1038/sj.eye.6700623.
  8. Dresner SC. Further modifications of the Müller’s muscle-conjunctival resection procedure for blepharoptosis. Ophthal Plast Reconstr Surg. 1991;7(2):114-122. https://doi.org/10.1097/00002341-199106000-00005.
  9. Beard C. History of ptosis surgery. Adv Ophthalmic Plast Reconstr Surg. 1986;5:125-131.
  10. Fasanella R, Servat J. Levator resection for minimal ptosis. Another simplified operation. Arch Ophthalmol. 1961;65:493-496. https://doi.org/10.1001/archopht.1961.01840020495005.
  11. Putterman AM, Urist MJ. Müller muscle-conjunctiva resection. Technique for treatment of blepharoptosis. Arch Ophthalmol. 1975;93(8):619-623. https://doi.org/10.1001/archopht.1975. 01010020595007.
  12. Perry JD, Kadakia A, Foster JA. A new algorithm for ptosis repair using conjunctival Mullerectomy with or without tarsectomy. Ophthal Plast Reconstr Surg. 2002;18(6):426-429. https://doi.org/10.1097/00002341-200211000-00007.
  13. Потёмкин В.В., Гольцман Е.В. Интраоперационный тест оценки подвижности белой линии при трансконъюнктивальной резекции верхней тарзальной мышцы по поводу блефароптоза // Офтальмологические ведомости. – 2019. – Т. 12. – № 4. – C. 87–91. [Potyomkin VV, Goltsman EV. White line motility test in transconjunctival muellerectomy for blepharoptosis. Ophthalmology journal. 2019;12(4):87-91. (In Russ.)]. https://doi.org/10.17816/ov15811.
  14. Потёмкин В.В., Гольцман Е.В. Новый алгоритм планирования резекции верхней тарзальной мышцы при блефароптозе: описание методики и результаты // Офтальмологические ведомости. – 2019. – Т. 12. – № 3. – С. 83–90. [Potyomkin VV, Goltsman EV. New algorithm for planning superior tarsal muscle resection for blepharoptosis: description of technique and results. Ophthalmology journal. 2019;12(3): 83-90. (In Russ.)]. https://doi.org/10.17816/ ov16049.
  15. Dortzbach RK. Superior tarsal muscle resection to correct belpharoptosis. Ophthalmology. 1979;86(10):1883-1891. https://doi.org/10.1016/s0161-6420(79)35341-6.
  16. Baldwin HC, Bhagey J, Khooshabeh R. Open sky Muller muscle conjunctival resection in phenylephrine test-negative blepharoptosis patients. Ophthal Plast Reconstr Surg. 2005;21(4):276-280. https://doi.org/10.1097/01.iop.0000167789.39570.3e.
  17. 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.
  18. Vanderson EA, Fatima CS, 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.
  19. 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.
  20. Grace Lee N, Lin L-W, Mehta S, Freitag SK. Response to phenylephrine testing in upper eyelids with ptosis. Digit J Ophthalmol. 2015;21(3):1-12.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Goltsman E., Potemkin V., Davydov D., 2021

Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可
 


##common.cookie##