ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CẮT NGẮN CƠ NÂNG MI ĐƯỜNG MỔ NHỎ ĐIỀU TRỊ SỤP MI NHẸ VÀ TRUNG BÌNH

Abstract

Purpose: To evaluate efficiency of small incision external levator aponerosis resection for mild to moderate blepharoptosis correction. Patients presenting with blepharoptosis because of levator aponeurosis require surgical repair. A minimally invasive approach directed at the levator aponeurotic anatomic may provide benefits to the patient. The objective of this study was to describe clinical features and evaluate efficiency of small incision external levator aponerosis resection for correction of mild to moderate ptosis due to aponeurotic resection, corrected by a minimally invasive approach. Subjects and methods: A convenience sampling approach was used to recruit 22 patients with mild to moderate blepharoptosis at the Vietnam National Institute of Ophthamology from October, 2021 to December, 2022. Pre- and postoperative upper eyelid marginal reflex distances (MRD1), MRD1 difference between 2 eyes, eyelid contour, upper eyelid crease height, scar, patient’s satisfaction, and complications (overcorrection, undercorrection, hematoma) were recorded and were aggregated into a success rate.  Outcomes were assessed at 1 week, 1 month, 3 months, and 6 months after surgery.  Succsess rate reached 96% with 96% patients were satisfied with the results. Conclusion: Our experience suggests that utilization of a small skin incision is safe, efficient and allows for more rapid recovery from surgery. Thereby, the success rate is higher and the patient is more satisfied with the results.