Abstract | OBJECTIVE: To report a refinement of small-incision external levator advancement with a standardized method for suture placement for correction of acquired blepharoptosis and 1 surgeon's results with this technique. METHODS: Retrospective medical record review of data from all patients with unilateral or bilateral acquired blepharoptosis who underwent small-incision external levator advancement from October 1, 2007, through January 31, 2011. RESULTS: Ninety-two eyelids from 66 patients with acquired blepharoptosis were treated with small-incision external levator advancement with uniform suture placement. Forty patients underwent unilateral surgery and 26 underwent bilateral surgery. The mean preoperative margin-to-reflex distance was 0.70 mm. The mean postoperative margin-to-reflex distance was 2.95 mm. Symmetry was achieved in 49 patients (74%) on the basis of a less than 1-mm difference in margin-to-reflex distance. When stratified by unilateral ptosis repair vs bilateral ptosis repair, bilateral ptosis repair achieved greater symmetry on average (81% vs 70%). Nine patients underwent revision. There were only 2 postoperative complications: one was postoperative upper eyelid bleeding and the other was exposure keratopathy. CONCLUSION: The simplified method of suture placement for small-incision external levator advancement is an effective, safe, and efficient option for acquired ptosis correction.
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Authors | Audrey E Ahuero, Bryan J Winn, Bryan S Sires |
Journal | Archives of facial plastic surgery
(Arch Facial Plast Surg)
Vol. 14
Issue 6
Pg. 408-12
(Nov 2012)
ISSN: 1538-3660 [Electronic] United States |
PMID | 22892580
(Publication Type: Evaluation Study, Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Blepharoplasty
(methods)
- Blepharoptosis
(surgery)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Minimally Invasive Surgical Procedures
(methods)
- Reoperation
(statistics & numerical data)
- Retrospective Studies
- Suture Techniques
- Treatment Outcome
- Young Adult
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