한눈 선천 눈꺼풀처짐 소아 환자의 한눈 눈꺼풀올림근 절제술과 이마근걸기술의 결과 비교

• 영문명: Clinical Outcome Comparison of Unilateral Levator Resection and Frontalis Sling for Unilateral Congenital Childhood Ptosis
• 발행기관: 대한검안학회
• 저자명: 윤준명(Jun Myeong Yun) 김성은(Sung Eun Kim) 양석우(Suk Woo Yang)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.17 No.1, 5~9쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2018.03.30

영문 초록

Purpose: To compare the surgical results of unilateral levator resection and frontalis sling in unilateral congenital ptosis patients. Methods: Forty-eight patients with age < 15 years, who diagnosed with unilateral congenital ptosis and underwent surgical repair between January 2002 and December 2015 were included, and the authors retrospectively reviewed medical records of patients to compare the surgical results of 22 patients undergoing unilateral levator resection and 26 patients undergoing unilateral frontalis sling. Results: The mean postoperative marginal reflex distance (MRD)1 were 2.09 ± 0.91 mm in the levator resection group and, 1.41 ± 1.18 mm in the frontalis sling group. Postoperatively, the mean MRD1 was significantly increased in both groups (p < 0.001). Successful results defined as MRD1 symmetry (the difference in MRD1 between the two eyelids ≤1 mm) were obtained in 19 patients (86.4%) of levator resection group (22 patients) and 12 patients (46.2%) of frontalis sling group (26 patients), success rate was significantly higher in levator resection group than frontalis sling group (p=0.004). In poor levator function group (Levator function test < 4 mm), MRD1 symmetry was obtained in 10 patients (83.3%) of levator resection group (12 patients) and 4 patients (36.4%) of frontalis sling group (11 patients), success rate was also significantly higher in levator resection group (p=0.021). Reoperation due to undercorrection was required in 3 patients (13.6%) of levator resection group and 12 patients (46.2%) of frontalis sling group, reoperation rate was significantly higher in levator resection group (p=0.015). Conclusions: In children with unilateral congenital ptosis, It is considered that unilateral levator resection can provide better result and lower recurrence compared with unilateral frontalis sling.

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키워드

Congenital ptosis Levator resection Frontalis sling