Veleszületett szemhéjcsüngés műtéti megoldása a szemhéjemelő izom kötőhártya felőli redőzésével

Antus, Zsuzsanna; Lukáts, Olga; Szalai, Irén; Nagy, Zoltán Zsolt; Szentmáry, Nóra

doi:10.1556/650.2021.32091

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Такі рани краще адаптуються -швидше загоюються. Гіпертрофія верхньої частини колового м'яза ока призводить до ектропіону (виворіт) верхньої повіки [7][8][9].…”

Section: Anatomy Of Eyelids Muscles DV Proniaiev оP Kuchuk Si Riabyi Vl Voloshyn Ki Yakovietsunclassified

Anatomy of eyelids muscles

Проняєв¹,

Kuchuk²,

Riabyi³

et al. 2021

Buk. Med. Herald

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Objective of the research was to study up-to-date literary data concerning anatomical peculiarities of palpebral muscles and their supporting and retaining apparatus. Eye diseases have become common nowadays. Very fast development of computer technology and deterioration of ecological conditions are one of the most important factors affecting visual organ impairment. Age physiological changes of the eye and adjacent tissues aggravate the quality of human life as well. Meanwhile, the majority of changes can be corrected. Modern ophthalmology possesses a plenty of surgical techniques, and development of skills in cosmetology and new pharmacological agents ensure a desirable delay of aging and deterioration of the visual organ functions. All the above factors are unlikely to become achievements in medicine without comprehensive awareness of the visual organ anatomy and its auxiliary apparatus. A lot of diseases are associated with eyelids, and ectropion and ptosis of the lower or upper eyelid are the commonest of them. Hypertrophy of the upper part of the orbicular muscle causes ectropion. It is a condition in which the upper eyelid is turned outwards. Isolation of the upper tarsal muscle from the tarsal plate leads to the development of aponeurotic ptosis. Strain of the lower retaining ligament, palpebral fissure septum and capsular-palpebral ligament result in ectropion of the lower eyelid. The presented literary review contains up-to-date information concerning the structure of the muscles of the eyelids and adjacent and auxiliary structures, their functions and possible functional disorders are described. Conclusions. Еhe review of scientific literature dealing with anatomical studies of palpebral muscles and their main adjacent structures is indicative of great interest of scientists in this issue. Though our study has found certain disembodied data and unsystematized fragments in the literature available. In our opinion, compiling an appropriate handbook dealing with the data base available concerning anatomy of the eyelids will considerably improve the quality of numerous surgical operations in cosmetology and ophthalmology.

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Section: Anatomy Of Eyelids Muscles DV Proniaiev оP Kuchuk Si Riabyi Vl Voloshyn Ki Yakovietsunclassified

Anatomy of eyelids muscles

Проняєв¹,

Kuchuk²,

Riabyi³

et al. 2021

Buk. Med. Herald

View full text Add to dashboard Cite

show abstract

Semi-adjustable posterior approach for congenital ptosis repair- outcomes of local and general anesthesia

Ben Ishai,

Ben Artsi,

Shouchane-Blum

et al. 2024

European Journal of Ophthalmology

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Background To report a single center experience with semi-adjustable posterior approach levator plication (‘levatorpexy’) in patients with congenital ptosis. Materials and methods A retrospective study. All cases who underwent posterior approach levatorpexy for congenital ptosis between the years 2016 to 2022 were included. The primary outcome measures were margin-to-reflex distance 1 (MRD1) before and after surgery, upper eyelid contour, symmetry of upper eyelid height, complications, and surgical success. Surgery was successful if all the following criteria were met: A postoperative MRD1 of ≥2 mm and ≤4.5 mm, a satisfactory eyelid contour in the operated eyelid, and an inter-eyelid MRD1 asymmetry of ≤1 mm. Postoperative modifications in semi-adjustable techniques were considered in all cases. Results Twenty-three eyelids of 21 patients were included, 11 were performed under general anesthesia, and 12 were performed under local anesthesia. The mean age of all patients was 24.1 years (8–47 years). The mean levator function was 11.2 (±2.11). Mean preoperative MRD1 was 1.05 mm and 1.41 for general and local anesthesia, respectively. Mean postoperative MRD1 was 3.33 mm and 3.37 mm for general and local anesthesia, respectively. Eighteen patients (85%) achieved the desired eyelid height and fulfilled our criteria for success. There were no complications reported in any of the groups. Conclusion Posterior approach levatorpexy is a safe and effective procedure for repairing congenital ptosis in patients with good levator function. This technique is suitable for young patients and those unable to undergo surgery under local anesthesia. This technique offers post-operative modification due to its semi-adjustable nature.

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Veleszületett szemhéjcsüngés műtéti megoldása a szemhéjemelő izom kötőhártya felőli redőzésével

Cited by 2 publications

References 17 publications

Anatomy of eyelids muscles

Anatomy of eyelids muscles

Semi-adjustable posterior approach for congenital ptosis repair- outcomes of local and general anesthesia

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