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Standardized suture placement for mini-invasive ptosis surgery.

AbstractOBJECTIVE:
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.
AuthorsAudrey E Ahuero, Bryan J Winn, Bryan S Sires
JournalArchives of facial plastic surgery (Arch Facial Plast Surg) Vol. 14 Issue 6 Pg. 408-12 (Nov 2012) ISSN: 1538-3660 [Electronic] United States
PMID22892580 (Publication Type: Evaluation Study, Journal Article)
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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