ĐÁNH GIÁ HIỆU QUẢ BƯỚC ĐẦU ỨNG DỤNG CÂN NGANG TRÊN MỞ RỘNG ĐIỀU TRỊ SỤP MI TÁI PHÁT

Abstract

Objective: This study was conducted to evaluate the initial outcomes of the technique using TSFE in treating patients with recurrent ptosis at the Department of Eye and Facial Reconstruction and Plastic Surgery, Vietnam National Eye Hospital. Subjects and Methods: Uncontrolled, descriptive intervention studt on a group of patients with recurrent ptosis. Select a convenient sample size of 14 eyes. Results: 12 patients with 14 eyes with recurrent ptosis were reoperated with transverse superior fascial expansion suspension. Male : female ratio = 1:6, youngest age is 6 years old, oldest age is 21 years old. Previous surgical methods include frontalis muscle suspension with fascial fascialata (1 eye), frontalis muscle suspension with frontalis flap (1 eye), frontalis sling with silicon wire (6 eyes), thread (2 eyes) and shortening the levator muscle (4 eyes). The average MRD1 before surgery was 0.5 mm, the average MRD1 after surgery was 3.6 mm. After 3 months of follow-up, only 28,57% of patients had 1-2 mm lagophthalmos. The curvature of the eyelid margin and folds are balanced on both sides