The clinical analysis of conjoint fascial sheath suspension on the treatment of pediatric congenital moderate-severe ptosis / 中华整形外科杂志

ABSTRACT

Objective@#To investigate the functional and cosmetic outcomes of conjoint fascial sheath(CFS) suspension surgery in pediatric congenital ptosis.@*Methods@#Forty-four moderate to severe ptosis patients(58 eyes) underwent CFS suspension surgery from December 2013 ot December 2014. With 12 to 36 months follow-up, the levator function, margin reflx distance, curve of upper eyelid, appearance and complications were recorded and analyzed, to evaluate the effect based on functionality, aesthetics and complication.@*Results@#①Functional assessment in the 58 eyes of 44 cases, the satisfactory rate was 91.4%(53 eyes), 2 eyes(3.45%)were under—corrected, 3 eyes(5.17%) were over corrected. The mean preoperatively LF was 2.5 mm, which was increased postoperatively to 6.1 mm at the final visit.The average marginal reflex distance (MRD) was 0.1 mm preoperatively. After at least one year, average MRD was 3.8 mm (P<0.05). ②Cosmetic satisfaction assessment According to satisfaction surveys, the rate of excellence and good was 88.64%, 6.81% fair, and 4.54% poor. ③Complications the most common complication was reoperation, which was performed in 2 eyelids (3.45 %) because of incomplete correction and 3 eyes(5.17%) over corrected. Only one case of cornea exposure which recovered after conservative treatment.@*Conclusions@#CFS suspension was an effective treatment for moderate-severe congenital ptosis, showing good long term result.