Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids
Background The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement...
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| Veröffentlicht in: | Aesthetic plastic surgery 2015-02, Vol.39 (1), p.17-24 |
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| creator | Chung, Seungil Ahn, Byungjoon Yang, Wonyong Bum, Jinsik Kim, Kiyup Kang, Sangyoon |
| description | Background
The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement and change in the eyelid position (MRD
1
).
Methods
The medical records of 290 consecutive patients who underwent retrotarsal tucking of Müller muscle-levator aponeurosis from February 2005 to November 2011 were reviewed. Of those, 26 patients (51 eyelids) were statistically analyzed. The correction was performed through an external upper blepharoplasty approach. Once the orbital septum was opened, the Müller muscle-levator aponeurosis was advanced and tucked under the posterior surface of the tarsus by a single lifting suture. The average follow-up period was 20.6 months, with a range of 3–68 months.
Results
In 26 patients (51 eyelids), satisfactory results were recorded for 49 of 51 eyelids (96.1 %). The margin reflex distance-1 (MRD
1
) increased from 1.56 ± 0.70 mm preoperatively to 3.86 ± 0.94 mm postoperatively (
p
|
| doi_str_mv | 10.1007/s00266-014-0420-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1695760968</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3569598081</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a7f8bab59cf6cfc4e4fe56e19533a805bfae5bee9380bc050654a5f78b7309a63</originalsourceid><addsrcrecordid>eNp1kctu1DAUhi1ERYfCA7BBlth0Ezh2fEnYTUflIs0ICbUSu8jxnBQXTxxsB6lbnosdL1YPU1CF1JVln-_89vFHyAsGrxmAfpMAuFIVMFGB4FDJR2TBRM0ryQV7TBZQK1Fxpr4ck6cpXQMwrrV4Qo65lExxLRbk51mIW4zejUhzoJtQNiYjPfM4fTUxTDkkl-gqxIg2uzDSy-TGK_oZcwzZxGQ8vZjtt_1ZGOjm9y_vMdLNnKzHt3SNP0wOkS6nMOIc_2S5kS6TMyM9v0HvtukZORqMT_j8bj0hl-_OL1YfqvWn9x9Xy3Vla81zZfTQ9KaXrR2UHaxAMaBUyFpZ16YB2Q8GZY_Y1g30FiQoKYwcdNPrGlqj6hNyesidYvg-Y8rdziWL3psRw5w6plqpFbSqKeir_9DrMMexvK5QouF1-UAoFDtQtgyWIg7dFN3OxJuOQbcX1B0EdUVQtxfUydLz8i557ne4_dfx10gB-AFIpTReYbx39YOpt9hhndM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1648232550</pqid></control><display><type>article</type><title>Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids</title><source>MEDLINE</source><source>Springer Online Journals</source><creator>Chung, Seungil ; Ahn, Byungjoon ; Yang, Wonyong ; Bum, Jinsik ; Kim, Kiyup ; Kang, Sangyoon</creator><creatorcontrib>Chung, Seungil ; Ahn, Byungjoon ; Yang, Wonyong ; Bum, Jinsik ; Kim, Kiyup ; Kang, Sangyoon</creatorcontrib><description>Background
The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement and change in the eyelid position (MRD
1
).
Methods
The medical records of 290 consecutive patients who underwent retrotarsal tucking of Müller muscle-levator aponeurosis from February 2005 to November 2011 were reviewed. Of those, 26 patients (51 eyelids) were statistically analyzed. The correction was performed through an external upper blepharoplasty approach. Once the orbital septum was opened, the Müller muscle-levator aponeurosis was advanced and tucked under the posterior surface of the tarsus by a single lifting suture. The average follow-up period was 20.6 months, with a range of 3–68 months.
Results
In 26 patients (51 eyelids), satisfactory results were recorded for 49 of 51 eyelids (96.1 %). The margin reflex distance-1 (MRD
1
) increased from 1.56 ± 0.70 mm preoperatively to 3.86 ± 0.94 mm postoperatively (
p
< 0.001, Wilcoxon signed rank test). When 6.1 mm of advancement was implemented, an average MRD
1
of 1 mm was achieved. For 7.2 and 8.3 mm of advancement, the average MRD
1
achieved was 2 and 3 mm each. A noteworthy complication, although not included in statistical analysis, was one patient who had developed corneal irritation caused by the conjunctival exposure to the non-absorbable suture 3 years after the surgery, which led the subject to have the suture removed.
Conclusion
The author concludes that this procedure is one of the most effective surgical options in correcting borderline to moderate blepharoptosis in conjunction with esthetic blepharoplasty. The main advantage of such a method is that once the orbital septum is opened, Müller muscle-levator aponeurosis is easily advanced and tucked under the posterior surface of the tarsal plate without extensive dissection or resection, which is less traumatic and gives a more vertical lifting vector, thus producing excellent cosmetic results and quick recovery.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-014-0420-5</identifier><identifier>PMID: 25516274</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Asian Continental Ancestry Group ; Blepharoplasty - methods ; Blepharoptosis - surgery ; Child ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Oculomotor Muscles - surgery ; Original Article ; Otorhinolaryngology ; Plastic Surgery ; Retrospective Studies ; Severity of Illness Index ; Sutures ; Young Adult</subject><ispartof>Aesthetic plastic surgery, 2015-02, Vol.39 (1), p.17-24</ispartof><rights>Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2014</rights><rights>Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a7f8bab59cf6cfc4e4fe56e19533a805bfae5bee9380bc050654a5f78b7309a63</citedby><cites>FETCH-LOGICAL-c372t-a7f8bab59cf6cfc4e4fe56e19533a805bfae5bee9380bc050654a5f78b7309a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-014-0420-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-014-0420-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25516274$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Seungil</creatorcontrib><creatorcontrib>Ahn, Byungjoon</creatorcontrib><creatorcontrib>Yang, Wonyong</creatorcontrib><creatorcontrib>Bum, Jinsik</creatorcontrib><creatorcontrib>Kim, Kiyup</creatorcontrib><creatorcontrib>Kang, Sangyoon</creatorcontrib><title>Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement and change in the eyelid position (MRD
1
).
Methods
The medical records of 290 consecutive patients who underwent retrotarsal tucking of Müller muscle-levator aponeurosis from February 2005 to November 2011 were reviewed. Of those, 26 patients (51 eyelids) were statistically analyzed. The correction was performed through an external upper blepharoplasty approach. Once the orbital septum was opened, the Müller muscle-levator aponeurosis was advanced and tucked under the posterior surface of the tarsus by a single lifting suture. The average follow-up period was 20.6 months, with a range of 3–68 months.
Results
In 26 patients (51 eyelids), satisfactory results were recorded for 49 of 51 eyelids (96.1 %). The margin reflex distance-1 (MRD
1
) increased from 1.56 ± 0.70 mm preoperatively to 3.86 ± 0.94 mm postoperatively (
p
< 0.001, Wilcoxon signed rank test). When 6.1 mm of advancement was implemented, an average MRD
1
of 1 mm was achieved. For 7.2 and 8.3 mm of advancement, the average MRD
1
achieved was 2 and 3 mm each. A noteworthy complication, although not included in statistical analysis, was one patient who had developed corneal irritation caused by the conjunctival exposure to the non-absorbable suture 3 years after the surgery, which led the subject to have the suture removed.
Conclusion
The author concludes that this procedure is one of the most effective surgical options in correcting borderline to moderate blepharoptosis in conjunction with esthetic blepharoplasty. The main advantage of such a method is that once the orbital septum is opened, Müller muscle-levator aponeurosis is easily advanced and tucked under the posterior surface of the tarsal plate without extensive dissection or resection, which is less traumatic and gives a more vertical lifting vector, thus producing excellent cosmetic results and quick recovery.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Asian Continental Ancestry Group</subject><subject>Blepharoplasty - methods</subject><subject>Blepharoptosis - surgery</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oculomotor Muscles - surgery</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Plastic Surgery</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sutures</subject><subject>Young Adult</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kctu1DAUhi1ERYfCA7BBlth0Ezh2fEnYTUflIs0ICbUSu8jxnBQXTxxsB6lbnosdL1YPU1CF1JVln-_89vFHyAsGrxmAfpMAuFIVMFGB4FDJR2TBRM0ryQV7TBZQK1Fxpr4ck6cpXQMwrrV4Qo65lExxLRbk51mIW4zejUhzoJtQNiYjPfM4fTUxTDkkl-gqxIg2uzDSy-TGK_oZcwzZxGQ8vZjtt_1ZGOjm9y_vMdLNnKzHt3SNP0wOkS6nMOIc_2S5kS6TMyM9v0HvtukZORqMT_j8bj0hl-_OL1YfqvWn9x9Xy3Vla81zZfTQ9KaXrR2UHaxAMaBUyFpZ16YB2Q8GZY_Y1g30FiQoKYwcdNPrGlqj6hNyesidYvg-Y8rdziWL3psRw5w6plqpFbSqKeir_9DrMMexvK5QouF1-UAoFDtQtgyWIg7dFN3OxJuOQbcX1B0EdUVQtxfUydLz8i557ne4_dfx10gB-AFIpTReYbx39YOpt9hhndM</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Chung, Seungil</creator><creator>Ahn, Byungjoon</creator><creator>Yang, Wonyong</creator><creator>Bum, Jinsik</creator><creator>Kim, Kiyup</creator><creator>Kang, Sangyoon</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150201</creationdate><title>Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids</title><author>Chung, Seungil ; Ahn, Byungjoon ; Yang, Wonyong ; Bum, Jinsik ; Kim, Kiyup ; Kang, Sangyoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a7f8bab59cf6cfc4e4fe56e19533a805bfae5bee9380bc050654a5f78b7309a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Asian Continental Ancestry Group</topic><topic>Blepharoplasty - methods</topic><topic>Blepharoptosis - surgery</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oculomotor Muscles - surgery</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Plastic Surgery</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sutures</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Seungil</creatorcontrib><creatorcontrib>Ahn, Byungjoon</creatorcontrib><creatorcontrib>Yang, Wonyong</creatorcontrib><creatorcontrib>Bum, Jinsik</creatorcontrib><creatorcontrib>Kim, Kiyup</creatorcontrib><creatorcontrib>Kang, Sangyoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, Seungil</au><au>Ahn, Byungjoon</au><au>Yang, Wonyong</au><au>Bum, Jinsik</au><au>Kim, Kiyup</au><au>Kang, Sangyoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>39</volume><issue>1</issue><spage>17</spage><epage>24</epage><pages>17-24</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
The purpose of this paper is to report the outcome of retrotarsal tucking of Müller muscle-levator aponeurosis for the correction of borderline to moderate ptosis in conjunction with esthetic blepharoplasty in Asian eyelids and to explore the relationship between the extent of advancement and change in the eyelid position (MRD
1
).
Methods
The medical records of 290 consecutive patients who underwent retrotarsal tucking of Müller muscle-levator aponeurosis from February 2005 to November 2011 were reviewed. Of those, 26 patients (51 eyelids) were statistically analyzed. The correction was performed through an external upper blepharoplasty approach. Once the orbital septum was opened, the Müller muscle-levator aponeurosis was advanced and tucked under the posterior surface of the tarsus by a single lifting suture. The average follow-up period was 20.6 months, with a range of 3–68 months.
Results
In 26 patients (51 eyelids), satisfactory results were recorded for 49 of 51 eyelids (96.1 %). The margin reflex distance-1 (MRD
1
) increased from 1.56 ± 0.70 mm preoperatively to 3.86 ± 0.94 mm postoperatively (
p
< 0.001, Wilcoxon signed rank test). When 6.1 mm of advancement was implemented, an average MRD
1
of 1 mm was achieved. For 7.2 and 8.3 mm of advancement, the average MRD
1
achieved was 2 and 3 mm each. A noteworthy complication, although not included in statistical analysis, was one patient who had developed corneal irritation caused by the conjunctival exposure to the non-absorbable suture 3 years after the surgery, which led the subject to have the suture removed.
Conclusion
The author concludes that this procedure is one of the most effective surgical options in correcting borderline to moderate blepharoptosis in conjunction with esthetic blepharoplasty. The main advantage of such a method is that once the orbital septum is opened, Müller muscle-levator aponeurosis is easily advanced and tucked under the posterior surface of the tarsal plate without extensive dissection or resection, which is less traumatic and gives a more vertical lifting vector, thus producing excellent cosmetic results and quick recovery.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25516274</pmid><doi>10.1007/s00266-014-0420-5</doi><tpages>8</tpages></addata></record> |
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| ispartof | Aesthetic plastic surgery, 2015-02, Vol.39 (1), p.17-24 |
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| language | eng |
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| source | MEDLINE; Springer Online Journals |
| subjects | Adolescent Adult Asian Continental Ancestry Group Blepharoplasty - methods Blepharoptosis - surgery Child Female Humans Male Medicine Medicine & Public Health Oculomotor Muscles - surgery Original Article Otorhinolaryngology Plastic Surgery Retrospective Studies Severity of Illness Index Sutures Young Adult |
| title | Borderline to Moderate Blepharoptosis Correction Using Retrotarsal Tucking of Müller Muscle: Levator Aponeurosis in Asian Eyelids |
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