Changes in Eyelid Height Based on Intra-Operative Quantification of Levator Aponeurosis Advancement in Patients with Unilateral Ptosis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-08-08 DOI:10.1080/08820538.2024.2388625

Jose Miguel Ambat, Naoyuki Morishige, Yasuhiro Takahashi, Hirohiko Kakizaki

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引用次数: 0

Abstract

Objective: To present marginal reflex distance (MRD-1) outcomes based on intra-operative quantification of levator aponeurosis advancement.

Methods: Forty-eight patients with unilateral aponeurotic ptosis underwent anterior levator aponeurosis advancement. Distance of advancement intra-operatively was compared with MRD-1 outcomes at the immediate postoperative sitting, approximately 1 week, and 1 month period. Surgical success was defined as a symmetric MRD-1 or an MRD-1 within 1 millimeter of the contralateral eyelid.

Results: Most MRD-1 exhibited the following trends: 1) initial decrease at about 1 week and increase at 1 month (n = 11), 2) initial increase at about 1 week with levelling at 1 month (n = 8), and 3) increasing through time (n = 7). Success rate significantly decreased through time (p = .0464). The change in proportion of successful and failed surgeries was insignificant. Surgical revision rate was 10.4%.

Conclusion: Levator aponeurosis advancement distances do not correlate with MRD-1 outcomes linearly. MRD-1 exhibited stability over time with a satisfactory success rate at 1 month.

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根据术中对单侧上睑下垂患者提上睑肌前移的定量分析得出的眼睑高度变化。

目的根据术中对提上睑肌腱膜前移的量化结果，介绍边缘反射距离（MRD-1）的结果：方法：48 位单侧上睑下垂患者接受了上睑提肌腱膜前移术。将术中推进的距离与术后即刻坐位、约 1 周和 1 个月后的 MRD-1 结果进行比较。手术成功的定义是对称的 MRD-1 或 MRD-1 在对侧眼睑 1 毫米以内：大多数 MRD-1 表现出以下趋势：1）大约 1 周开始下降，1 个月后上升（n = 11）；2）大约 1 周开始上升，1 个月后趋于平稳（n = 8）；3）随着时间的推移而上升（n = 7）。随着时间的推移，成功率明显下降（p = .0464）。成功手术和失败手术的比例变化不大。手术翻修率为 10.4%：结论：提肌腱膜前移的距离与 MRD-1 的结果没有线性关系。MRD-1随着时间的推移表现出稳定性，1个月时的成功率令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.