Jose Miguel Ambat, Naoyuki Morishige, Yasuhiro Takahashi, Hirohiko Kakizaki
{"title":"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。","authors":"Jose Miguel Ambat, Naoyuki Morishige, Yasuhiro Takahashi, Hirohiko Kakizaki","doi":"10.1080/08820538.2024.2388625","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To present marginal reflex distance (MRD-1) outcomes based on intra-operative quantification of levator aponeurosis advancement.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Most MRD-1 exhibited the following trends: 1) initial decrease at about 1 week and increase at 1 month (<i>n</i> = 11), 2) initial increase at about 1 week with levelling at 1 month (<i>n</i> = 8), and 3) increasing through time (<i>n</i> = 7). Success rate significantly decreased through time (<i>p</i> = .0464). The change in proportion of successful and failed surgeries was insignificant. Surgical revision rate was 10.4%.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":21702,"journal":{"name":"Seminars in Ophthalmology","volume":" ","pages":"1-6"},"PeriodicalIF":1.9000,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Changes in Eyelid Height Based on Intra-Operative Quantification of Levator Aponeurosis Advancement in Patients with Unilateral Ptosis.\",\"authors\":\"Jose Miguel Ambat, Naoyuki Morishige, Yasuhiro Takahashi, Hirohiko Kakizaki\",\"doi\":\"10.1080/08820538.2024.2388625\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To present marginal reflex distance (MRD-1) outcomes based on intra-operative quantification of levator aponeurosis advancement.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Most MRD-1 exhibited the following trends: 1) initial decrease at about 1 week and increase at 1 month (<i>n</i> = 11), 2) initial increase at about 1 week with levelling at 1 month (<i>n</i> = 8), and 3) increasing through time (<i>n</i> = 7). Success rate significantly decreased through time (<i>p</i> = .0464). The change in proportion of successful and failed surgeries was insignificant. Surgical revision rate was 10.4%.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":21702,\"journal\":{\"name\":\"Seminars in Ophthalmology\",\"volume\":\" \",\"pages\":\"1-6\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Seminars in Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/08820538.2024.2388625\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08820538.2024.2388625","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Changes in Eyelid Height Based on Intra-Operative Quantification of Levator Aponeurosis Advancement in Patients with Unilateral Ptosis.
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.
期刊介绍：
Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.
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