ĐÁNH GIÁ ỨNG DỤNG CÂN NGANG TRÊN MỞ RỘNG PHỐI HỢP CẮT NGẮN CƠ NÂNG MI ĐIỀU TRỊ SỤP MI

Abstract

Objective: This study was conducted to evaluate the initial outcomes of the technique using TSFE combine with levator resection in treating patients with ptosis at the Department of Eye and Facial Reconstruction and Plastic Surgery, Vietnam National Eye Hospital. Subjects and Methods: Uncontrolled, descriptive intervention study on 2 groups of patients: severe congenital ptosis and recurrent ptosis. Select a convenient sample size of 44 eyes (30 eyes severe congenital ptosis and 14 eyes recurrent ptosis). Results: 22 patients with 30 eyes with severe congenital and 14 eyes recurrent ptosis were reoperated with transverse superior fascial expansion suspension combine with levator resection. Male : female ratio = 1:1,37, youngest age is 2 years old, oldest age is 21 years old. The average MRD1 before surgery was 0.67 mm, the average MRD1 after surgery was 3.25 mm. After 3 months of follow-up, the successfull rate of severe congenital ptosis group was 93.3% and recurrent ptosis group was 92.9%. Conclusion: Levator muscle resection combine with transverse superior fascial expansion is a safe and effective method for patients with severe congenital ptosis and recurrent ptosis. The extended upper fascia material is an autologous material, thus limiting the complications of material rejection and infection, is cheap, and suitable for many types of patients