ISSN: 1859 - 2872
Efficacy of frontalis muscle flap suspension in treating moderate to severe blepharoptosis
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Abstract
Summary
Objective: This study aims to evaluate the efficacy of frontalis muscle flap suspension in treating moderate to severe blepharoptosis. Subject and method: 54 eyes of 47 moderate to severe blepharoptosis patients (aged 17.34 ± 9.17 years, 18 males, 29 females). Study design: Prospective uncontrolled clinical trial. Result: Following frontalis muscle flap suspension surgery, there was a statistically significant improvement (p<0.001) in margin reflex distance 1 (MRD1) and palpebral fissure height (PFH), from 0.009 ± 0.60mm and 5.59 ± 0.68mm (pre-operation) to 2.68 ± 1.10mm and 8.26 ± 1.14mm (1 week after operation), 3.63 ± 0.77mm and 9.24 ± 0.85mm (6 months after operation), 3.45 ± 0.80mm and 9.02 ± 0.89mm (12 months after operation). At the 12th month after operation, it was found that severe lagophthalmos, lid lag on down-gaze and forehead hypoesthesia were present in 7.4%, 9.3% and 14.0% of all treated eyes, respectively. Excellent functional results were determined in 68.5% of procedures postoperatively, with 29.6% and 1.9% rated as good and unsatisfactory. In terms of cosmetic results, 81.5%, 16.7% and 1.9% of cases were rated as excellent, good and unsatisfactory, respectively. Conclusion: Majority of case results were excellent (83.3%) and good (16.7%), with no unsatisfactory cases.
Keywods: Frontalis muscle flap suspension surgery, blepharoptosis.
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References
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