Blepharoptosis Repair through the Small Orbital Septum Incision and Minimal Dissection Technique in Patients with Coexisting Dermatochalasis

PURPOSE: To describe a modified surgical technique for blepharoptosis repair through a small orbital septum incision and minimal dissection, along with the results obtained in patients with coexisting dermatochalasis. METHODS: A retrospective chart review included 33 patients (52 eyelids) with blepharoptosis coexisting with dermatochalasis, surgically corrected through a small orbital septum incision and minimal dissection after redundant upper lid skin excision, by placing a single fixation suture between the levator aponeurosis and the tarsal plate. Outcome measures included the pre- and postoperative marginal reflex distances (MRD1), eyelid contour, post-operative complications, and need for reoperation. RESULTS: The pre- and postoperative MRD1 averaged 1.1 +/- 0.8 mm and 2.8 +/- 1.1 mm, respectively. Of the 33 patients, 9 patients (9 eyelids) underwent surgery on one eyelid for unilateral blepharoptosis and dermatochalasis (Group I), 5 patients (5 eyelids) underwent a simple skin excision blepharoplasty of the contralateral eyelid (Group II), and 19 patients (38 eyelids) underwent bilateral blepharoptosis and dermatochalasis repair (Group III). Of the 14 eyelids that underwent unilateral ptosis repair (Groups I and II), 12 eyelids (85.7%) showed less than a 1-mm difference from the contralateral eyelid. Of the 38 eyelids that underwent bilateral ptosis repair (Group III), 27 eyelids (71.1%), 5 eyelids (13.1%), and 6 eyelids (15.8%) had excellent, good, and poor outcomes, respectively. Overall, 44 eyelids (84.6%) out of a total of 52 eyelids had successful outcomes; the remaining 8 eyelids demonstrated unsatisfactory eyelid contour was corrected by an additional surgery. CONCLUSIONS: Blepharoptosis repair through a small orbital septum incision and minimal dissection can be considered an efficient technique in patients with ptosis and dermatochalasis.

Blepharoptosis Repair by Small Cutaneous Incision and Minimal Dissection Technique

PURPOSE: To present a simple method of acquired ptosis correction by small-incision minimal dissection technique and assess the results of the operation. METHODS: The charts of 23 patients (29 eyes) with acquired ptosis who underwent ptosis correction by small-incision minimal dissection technique were reviewed. Pre and postoperative MRD1, success rate, complications and reoperation rates were investigated. RESULTS: The average of pre- and postoperative MRD1 were 0.9+/-0.9 mm and 2.7+/-0.8 mm respectively. Of the 17 patients who underwent unilateral surgery, 15 eyes (88.2%) showed successful outcomes, and of the 12 eyes who underwent bilateral surgery, 8 eyes (66.6%), 2 eyes (16.7%), and 2 eyes (16.7%) showed excellent, good, and poor outcomes, respectively. Out of 29 eyes, 25 eyes (86.2%) showed satisfactory results. Two eyelids of unsatisfactory contour were corrected by reoperation. CONCLUSIONS: Although the small-incision minimal dissection technique for ptosis correction is applicable to a restricted group of patients compared to the conventional method, this technique is very useful and efficient, and has many advantages including less tissue damage, bleeding, edema, a short operation time and rapid recovery.

Blepharoptosis Repair by Small Cutaneous Incision and Minimal Dissection Technique

PURPOSE: To present a simple method of acquired ptosis correction by small-incision minimal dissection technique and assess the results of the operation. METHODS: The charts of 23 patients (29 eyes) with acquired ptosis who underwent ptosis correction by small-incision minimal dissection technique were reviewed. Pre and postoperative MRD1, success rate, complications and reoperation rates were investigated. RESULTS: The average of pre- and postoperative MRD1 were 0.9+/-0.9 mm and 2.7+/-0.8 mm respectively. Of the 17 patients who underwent unilateral surgery, 15 eyes (88.2%) showed successful outcomes, and of the 12 eyes who underwent bilateral surgery, 8 eyes (66.6%), 2 eyes (16.7%), and 2 eyes (16.7%) showed excellent, good, and poor outcomes, respectively. Out of 29 eyes, 25 eyes (86.2%) showed satisfactory results. Two eyelids of unsatisfactory contour were corrected by reoperation. CONCLUSIONS: Although the small-incision minimal dissection technique for ptosis correction is applicable to a restricted group of patients compared to the conventional method, this technique is very useful and efficient, and has many advantages including less tissue damage, bleeding, edema, a short operation time and rapid recovery.