For citation:
Goltsman E.V., Potemkin V.V., Davydov D.V.
Effect of modified superior tarsal muscle resection on upper eyelid contour in patients with blepharoptosis. Head and neck. Russian Journal. 2020;8(4):25–30 (In Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.
Doi: 10.25792/HN.2020.8.4.25–30
Transconjunctival methods of treatment are well established as effective surgical tactics for mild and moderate blepharoptosis with good functional and cosmetic results. One of the main criteria of a good cosmetic result is the upper eyelid contour. Purpose. To evaluate the upper eyelid contour symmetry after blepharoptosis correction with modified superior tarsal muscle resection.
Material and methods. 75 patients (103 eyelids) with mild or moderate blepharoptosis and good or excellent levator palpebrae superioris function participated in the study. Patients were divided into 2 groups: with positive (37 patients, 50 eyelids) and negative or weakly positive (37 patients, 50 eyelids) phenylephrine test. All patients underwent a modified superior tarsal muscle resection. Upper eyelid symmetry was evaluated by the difference in the palpebral fissure height along lateral and medial limbus. The new notions were introduced: margin-margin distance nasal (MMD N) and marginmargin distance temporal (MMD T). MMD N — the height of the palpebral fissure along the medial limbus, MMD T — the height of the palpebral fissure along the lateral limbus. The contour was considered irregular if the difference exceeded 1.5 mm. Assessments were performed 3 months, 6 months and 1 year after surgery.
Results. Significant change of upper eyelid contour symmetry was not observed neither at 3 months nor at 6 months and nor 1 year after surgery. 3 months after surgery, in the group with positive responses to the phenylephrine (PE) test, the difference exceeded 1.5 mm in 1 patient (1 eyelid, 2.0%), while in the group with negative and weakly positive PE test — in 7 patients (7 eyelids, 13.2%). Irregularity of the upper eyelid contour after 6 months and 1 year was observed in 2 patients (2 eyelids, 2.1% of the total number of patients) in the group with negative PE test results.
Conclusion. Modified superior tarsal muscle resection is an effective method of blepharoptosis correction that doesn’t change upper eyelid contour. A surgeon should consider that the additional excision of the tarsal plate leads to irregularity of the upper eyelid contour, mainly in the early postoperative period.
Key words: blepharoptosis, resection of the superior tarsal muscle, upper eyelid contour
Conflicts of interest. The authors have no conflicts of interest to declare.
Funding. There was no funding for this study.
Funding. There was no funding for this study. For citation: Goltsman E.V., Potemkin V.V., Davydov D.V.
Effect of modified superior tarsal muscle resection on upper eyelid contour in patients with blepharoptosis. Head and neck. Russian Journal. 2020;8(4):25–30 (In Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.