단안상전장애에 동반된 눈꺼풀처짐에서 눈꺼풀올림근을 이용한 이마근걸이술 1예

• 영문명: Use of the Levator Muscle as a Frontalis Sling in Monocular Elevation Deficiency
• 발행기관: 대한안과학회
• 저자명: 이상엽 김혜영,Sang Yeop Lee, MD, Hye Young Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number2, 282~285쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.02.15

영문 초록

Purpose: For the correction of ptosis in monocular elevation deficiency (MED) patients, levator resection or frontalis sling operation with various materials has been used. The authors present a case of a monocular elevation deficiency patient who was treated for ptosis using the levator muscle as a frontalis sling. Case summary: A six-year-old male patient with left monocular elevation deficiency underwent a frontalis sling operation using a levator muscle. The patient had received left inferior rectus recession, left medial rectus resection and left lateral rectus recession with transposition. An upper eyelid skin crease incision was made, and the anterior surface of the levator muscle was exposed as far as the Whitnall ligament. A levator muscle flap was then formed from aponeurosis by incising the full width of the levator horizontally, just below the Whitnall ligament and anchored to the frontalis muscle. The surgical result was satisfactory as the preoperative MRD1 was 0.5 mm and the postoperative MRD1 was 2.5 mm. There were no complications such as keratitis or wound problems. Conclusions: The levator muscle flap can be an effective frontalis suspension material to correct ptosis in an MED patient with poor levator function. J Korean Ophthalmol Soc 2010;51(2):282-285

키워드

Frontalis suspension, Levator muscle, Monocular elevation deficiency, Ptosis