Affiliation:
1. Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
Abstract
Abstract
Background
The transconjunctival technique is an effective approach to mild to moderate blepharoptosis repair that does not involve skin incision. However, accurate surgical manipulation of this method is greatly restricted by poor intraoperative evaluation.
Objectives
The aim of this study was to introduce a modified transconjunctival approach with flexible intraoperative adjustments in order to achieve more accurate ptosis correction.
Methods
Taking a transconjunctival approach, the levator aponeurosis and Müller’s muscle were folded with a square-like mattress suture for flexible adjustment and accurate correction.
Results
In 18 mild ptosis eyelids, 94.5% (17 eyelids) achieved adequate or normal correction. In 9 eyelids with moderate ptosis, 88.9% (8 eyelids) achieved adequate or normal correction. Of 24 ptosis patients, 23 (95.8%) achieved a good or fair symmetry result.
Conclusions
This study presents a modified transconjunctival technique for repair of mild to moderate ptosis, which is characterized by flexible intraoperative adjustments that produce satisfying functional and aesthetic outcomes.
Level of Evidence: 4
Funder
National Natural Science Youth Foundation of China
Seed Founding of Shanghai Ninth People’s Hospital
Shanghai Jiao Tong University School of Medicine
Publisher
Oxford University Press (OUP)
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