Two surgical methods to modify upper eyelid retraction with thyroid associated-ophthalmopathy / 中华整形外科杂志
Chinese Journal of Plastic Surgery
;
(6): 358-361, 2006.
Artigo
em Chinês
| WPRIM
| ID: wpr-297141
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the treatment effect of the two surgical methods for upper eyelid retraction with thyroid associated-ophthalmopathy.</p><p><b>METHODS</b>Twenty-two patients (32 eyes) with inactive thyroid associated-ophthalmopathy were divided into 2 groups (11 for each group) randomly. 11 patients (18 eyes) in the group A were treated by central tenotomy of levator aponeurosis. Another 11 patients (14 eyes) in the group B were treated by lengthening of Mullers' muscle combined with levator muscle. The treatment effect was investigated in 6-month follow-up study.</p><p><b>RESULTS</b>All of the patients were improved with the two surgical methods, which there was very significant difference before and after the treatments (P < 0.01), but not between the two surgical methods (P > 0.05) by statistical analysis. There was recurrent retracting in 4 patients (6 eyes) of group A and in 1 patient (1 eye) of group B, which there was significant difference between the two groups (P < 0.05) by Chi-square test. None of the patients was overcorrected.</p><p><b>CONCLUSIONS</b>The two methods are both effective and safe in correcting upper eyelid retraction. The rate of recurrent retracting is lower in lengthening of Mullers' muscle combined with levator muscle than that in central tenotomy of levator aponeurosis.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Blefaroplastia
/
Oftalmopatia de Graves
/
Doenças Palpebrais
/
Métodos
/
Músculos Oculomotores
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Plastic Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo
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