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Objective To investigate the clinical effect of combined fascial sheath suspension with upper blepharoplasty to treat congenital ptosis in Uygur population.Methods 42 patients with congenital ptosis (63 eyes) were selected during December 2015 to September 2017 in the People's Hospital of Xinjiang Uygur Autonomous Region.Combined fascia sheath suspension with levator leva tor shortening was used for the treatment.The postoperative correction effect was observed and the patients were followed up for the complications and satisfaction.Results The moderate and severe ptosis was improved and the effective rate was 95.0%,and so the surgical treatment was effective.The incidence of adverse reactions and the recurrence rate of the disease were significantly lower than those of other procedures.Conclusions CFS plus LM treatment for severe ptosis has obvious surgical results in Uygur population,and the satisfactory rate is higher than moderate patients.In addition,the incidence of orbital regurgitation in moderate patients is lower than that in severe patients.
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AIM:To observe the treatment for ptosis patients with severe undercorrection after frontal muscle flap suspension surgery. · METHODS: Totally 46 patients ( 67 eyes ) were randomly divided into 2 groups: 23 cases ( 33 eyes ) in Group A were given conjoint fascial sheath ( CFS ) suspension surgery; 23 cases ( 34 eyes ) in Group B Whitnall ligament suspension. Postoperative follow-up was 6mo. Corrected rate, recurrence rate and postoperative adverse reactions were compared and analyzed. ·RESULTS:The corrected rates of the two groups were both satisfied without significant difference between the two groups (P>0. 05). the Whitnall ligament suspension surgery had less recurrence than CFS suspension surgery, but the difference was not statistically significant (P>0. 05). The rate of hypophasis after CFS suspension surgery was significantly less than that after Whitnall ligament suspension (P<0. 05). ·CONCLUSION:The two operations both have satisfied corrected rate and low recurrence rate, the Whitnall ligament suspension surgery is less damaging and more easy to operate, while CFS suspension surgery is repeatable and less rate of hypophasis.