Blepharoplasty Effect on a Described Algorithmic Approach to External Ptosis Repair: Is It Time for Unbundling?

Ophthalmic Plastic and Reconstructive Surgery
Tal J RubinsteinBryan S Sires

Abstract

To investigate the effects of performing a previously described algorithmic levator resection for involutional ptosis with a blepharoplasty instead of through a small incision. Eyelids with involutional ptosis and normal levator function were included in the study. An upper blepharoplasty was performed first. An external levator resection was then performed based on a described technique involving 2 mm resection of aponeurosis for 1 mm of desired lift, consistent tension on the aponeurosis between surgical cases, and standardized suture placement. Forty-one eyelids of 25 patients were included. Mean postoperative margin to reflex distance 1 (MRD1) was 2.98 mm, which was significantly higher than preoperative MRD1 (0.67 mm), but lower than the predetermined goal MRD1 (3.35 mm). Eight eyelids did not meet primary outcome of MRD1 within 1 mm of goal MRD1, with 5 undercorrections. There was no difference between the postoperative MRD1 compared with the same ptosis technique performed through a small incision only, but there were more intraoperative suture adjustments and fewer eyelids meeting the primary outcome when a concurrent blepharoplasty was performed. The addition of blepharoplasty with a previously described algorithmic ap...Continue Reading

References

Jun 1, 1979·Archives of Ophthalmology·R L Anderson, R S Dixon
Mar 1, 1986·Plastic and Reconstructive Surgery·J H Carraway, M P Vincent
Mar 1, 1985·Archives of Ophthalmology·B L Sarver, A M Putterman
Mar 18, 1999·Ophthalmology·S M Tucker, S J Verhulst
Jun 18, 1999·American Journal of Ophthalmology·M J Lucarelli, B N Lemke
Apr 5, 2000·Ophthalmic Plastic and Reconstructive Surgery·M S Brown, A M Putterman
Sep 25, 2003·Ophthalmic Plastic and Reconstructive Surgery·Timothy J McCulleyWilliam J Feuer
Sep 7, 2007·Plastic and Reconstructive Surgery·Clinton D McCordMark A Codner
Aug 16, 2012·Archives of Facial Plastic Surgery·Audrey E AhueroBryan S Sires
Oct 10, 2014·Ophthalmic Plastic and Reconstructive Surgery·Grant H MooreRobert A Goldberg
Apr 24, 2015·JAMA Facial Plastic Surgery·John J Martin
Jul 15, 2015·The Journal of Craniofacial Surgery·Yoshitaka WadaShinichi Asamura

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