NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ MỨC ĐỘ HÀI LÒNG SAU MỔ SỤP MI Ở BỆNH NHÂN LỚN TUỔI

Abstract

Objectives: To describe the clinical features of senile blepharoptosis and to evaluate the surgical outcomes of blepharoplasty with levator aponeurosis advancement technique. Subjects and methods: A descriptive study of case series, including 20 patients with ptosis aged ≥ 40 years who underwent blepharoplasty with levator aponeurosis advancement technique at Hanoi Medical University Hospital and Bach Mai Hospital from January 2022 to March 2023. Result: The average age was 50.4 years old, in which 40-49 year-olds accounted for the highest percentage (60%). The patients in our study were all female. The majority of patients appeared bilateral ptosis, including

18 patients (90.0%). There was a difference in the rate of ptosis severity between different groups of levator muscle function with p < 0.05. The weaker the levator muscle, the higher the degree of ptosis severity. In a total of 38 eyes in 20 patients, all of them had looseness of the upper eyelid skin (excess skin). Anthropometric parameters (Vertical fissure width, marginal reflex distance, Margin crease distance, Levator Palpebrae Superioris action) were improved after surgery and 3 months follow-up. Patient satisfaction was 91.4% according to the FACE- Q scale. The average total scores when assessing the scar according to the POSAS scale of the patient and the observer are 9.1 and 7.3, respectively, showing favourable aesthetic results. Conclusion: Senile blepharoptosis in the study is mainly mild and there is a negative correlation between levator muscle function and severity of ptosis. Blepharoplasty patients are getting younger with the most common group was between   40-49   of   age.   High   rates   of   patient

satisfaction without complications suggests that blepharoplasty with levator aponeurosis advancement technique offers a safe, effective, and reliable option for correction of senile blepharoptosis.