Document Detail

Simplified Müller's muscle-conjunctival resection internal ptosis repair.
MedLine Citation:
PMID:  23034694     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe and evaluate a modified technique for blepharoptosis repair via Müller's muscle-conjunctival resection.
METHODS: An observational case series is reported. Records of 29 consecutive patients (42 eyelids) with blepharoptosis undergoing internal ptosis repair between January 2008 and December 2010 were reviewed including detailed preoperative and postoperative evaluations, eyelid measurements, surgical outcome, and complications. The procedure performed was a modified Müller's muscle-conjunctival resection with simple measurements, no traction sutures, a double-opposing mattress suture, and single external knot. Main outcome measures included success of ptosis repair surgery defined by improvement in margin reflex distance, symmetry of upper eyelid position, and incidence of complications.
RESULTS: The described modified Müller's muscle-conjunctival resection procedure achieved improvement in eyelid position in all patients with mean margin reflex distance change of 2.3 mm (p < 0.001). No patient experienced significant complications, and all procedures resulted in objective eyelid symmetry (within 1 mm) and satisfactory cosmetic appearance.
CONCLUSIONS: The procedure described is an efficient, safe, and successful technique for internal blepharoptosis repair.
Bryant P Carruth; Dale R Meyer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  29     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2013 Jan-Feb
Date Detail:
Created Date:  2013-01-09     Completed Date:  2013-06-20     Revised Date:  2014-01-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-4     Citation Subset:  IM    
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MeSH Terms
Blepharoplasty / methods*
Blepharoptosis / physiopathology,  surgery*
Conjunctiva / surgery*
Eyelids / anatomy & histology,  physiology
Middle Aged
Oculomotor Muscles / surgery*
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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