A Modified Algorithm-Based Levator Aponeurectomy in Mild to Moderate Congenital Blepharoptosis
Background Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to de...
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| Vydáno v: | Aesthetic plastic surgery Ročník 48; číslo 11; s. 2050 - 2056 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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New York
Springer US
01.06.2024
Springer Nature B.V |
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| ISSN: | 0364-216X, 1432-5241, 1432-5241 |
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| Abstract | Background
Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm.
Methods
This single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation.
Results
Twenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed
y
= − 0.2717*x + 5.026,
R
2
= 0.8553.
Conclusion
A modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility.
Level of Evidence IV
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
. |
|---|---|
| AbstractList | Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm.BACKGROUNDLevator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm.This single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation.METHODSThis single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation.Twenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed y = - 0.2717*x + 5.026, R2 = 0.8553.RESULTSTwenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed y = - 0.2717*x + 5.026, R2 = 0.8553.A modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility.CONCLUSIONA modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility.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 .LEVEL OF EVIDENCE IVThis 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 . Background Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm. Methods This single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation. Results Twenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed y = − 0.2717*x + 5.026, R 2 = 0.8553. Conclusion A modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility. Level of Evidence IV 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 . Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm. This single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation. Twenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed y = - 0.2717*x + 5.026, R = 0.8553. A modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility. 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 . BackgroundLevator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when patients were under local anesthesia. For patients who must receive the operation under general anesthesia, it would be an issue to determine how much length of levator aponeurosis to shorten. To solve this issue, we collected data from patients who underwent the operation under local anesthesia and concluded an algorithm.MethodsThis single-center, prospective bivariate regression study allocated patients of mild to moderate congenital blepharoptosis who received levator aponeurectomy under local anesthesia. Preoperative MRD1 and levator function, intraoperative amount of levator aponeurotic shortening, and postoperative MRD1 were measured. The follow-up period was right after the operation.ResultsTwenty-nine patients were included in this trial. Two subjects exited because of not receiving allocated operation and data of the other 27 subjects (including 34 eyelids) were analyzed. A scatter diagram was drawn where x axis referred to levator function and y axis referred to the ratio of the amount of shortening of levator aponeurosis over the height of MRD1 correction. Linear regression showed y = − 0.2717*x + 5.026, R2 = 0.8553.ConclusionA modified algorithm to predict the amount of shortening of levator aponeurosis based on levator function and height of ptosis correction was concluded with better accuracy and clinical feasibility.Level of Evidence IVThis 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. |
| Author | Zhou, Xianyu Liu, Fei Deng, Zhizhong Qiu, Yucheng He, Minyan Yang, Jun |
| Author_xml | – sequence: 1 givenname: Zhizhong surname: Deng fullname: Deng, Zhizhong organization: Department of Plastic and Burns Surgery, West China Hospital, Sichuan University – sequence: 2 givenname: Minyan surname: He fullname: He, Minyan organization: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine – sequence: 3 givenname: Xianyu surname: Zhou fullname: Zhou, Xianyu organization: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine – sequence: 4 givenname: Yucheng surname: Qiu fullname: Qiu, Yucheng organization: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine – sequence: 5 givenname: Jun surname: Yang fullname: Yang, Jun organization: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine – sequence: 6 givenname: Fei orcidid: 0000-0003-0073-7478 surname: Liu fullname: Liu, Fei email: plasticlf@163.com organization: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38578308$$D View this record in MEDLINE/PubMed |
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| Copyright | Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery. |
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| Keywords | Blepharoptosis Algorithm Levator aponeurectomy |
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| References_xml | – volume: 92 year: 2021 ident: CR10 article-title: Wounds morphologic assessment: application and reproducibility of a virtual measuring system, pilot study publication-title: Acta Biomed – volume: 72 start-page: 1164 year: 2019 end-page: 1169 ident: CR5 article-title: Physiological correction of mild to moderate congenital blepharoptosis: a retrospective cohort study involving 97 Eastern Asian patients publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2019.02.014 – volume: 68 start-page: 49 year: 2013 end-page: 56 ident: CR1 article-title: Blepharoplastic: essential review publication-title: Minerva Chir – volume: 17 start-page: 224 year: 2015 end-page: 225 ident: CR8 article-title: Upper eyelid blepharoplasty with ptosis repair by levator aponeurectomy publication-title: JAMA Facial Plast Surg doi: 10.1001/jamafacial.2015.0198 – volume: 28 start-page: 308 year: 2012 end-page: 311 ident: CR2 article-title: Margin reflex distance (MRD) 1, 2, and 3 publication-title: Ophthalmic Plast Reconstr Surg doi: 10.1097/IOP.0b013e3182523b7f – volume: 42 start-page: 137 year: 2018 end-page: 146 ident: CR9 article-title: Art or science? An evidence-based approach to human facial beauty a quantitative analysis towards an informed clinical aesthetic practice publication-title: Aesthetic Plast Surg doi: 10.1007/s00266-017-1032-7 – ident: CR7 – volume: 41 start-page: NP1014 year: 2021 end-page: NP1020 ident: CR3 article-title: A modified approach to transconjunctival levator advancement offering intraoperative options publication-title: Aesthet Surg J doi: 10.1093/asj/sjab118 – volume: 73 start-page: 149 year: 2020 end-page: 155 ident: CR4 article-title: Treatment strategy for severe blepharoptosis publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2019.06.037 – volume: 133 start-page: 358 year: 2014 end-page: 360 ident: CR6 article-title: Grabb and Smiths plastic surgery, seventh edition publication-title: Plast Reconstr Surg doi: 10.1097/PRS.0000000000000337 – volume: 92 year: 2021 ident: 4003_CR10 publication-title: Acta Biomed – volume: 73 start-page: 149 year: 2020 ident: 4003_CR4 publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2019.06.037 – ident: 4003_CR7 – volume: 41 start-page: NP1014 year: 2021 ident: 4003_CR3 publication-title: Aesthet Surg J doi: 10.1093/asj/sjab118 – volume: 72 start-page: 1164 year: 2019 ident: 4003_CR5 publication-title: J Plast Reconstr Aesthet Surg doi: 10.1016/j.bjps.2019.02.014 – volume: 133 start-page: 358 year: 2014 ident: 4003_CR6 publication-title: Plast Reconstr Surg doi: 10.1097/PRS.0000000000000337 – volume: 17 start-page: 224 year: 2015 ident: 4003_CR8 publication-title: JAMA Facial Plast Surg doi: 10.1001/jamafacial.2015.0198 – volume: 28 start-page: 308 year: 2012 ident: 4003_CR2 publication-title: Ophthalmic Plast Reconstr Surg doi: 10.1097/IOP.0b013e3182523b7f – volume: 42 start-page: 137 year: 2018 ident: 4003_CR9 publication-title: Aesthetic Plast Surg doi: 10.1007/s00266-017-1032-7 – volume: 68 start-page: 49 year: 2013 ident: 4003_CR1 publication-title: Minerva Chir |
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Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative... Levator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement when... BackgroundLevator aponeurectomy is a common operation for mild to moderate blepharoptosis. The accuracy of ptosis correction relied on intraoperative judgement... |
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| SubjectTerms | Algorithms Local anesthesia Medicine Medicine & Public Health Original Articles Otorhinolaryngology Plastic Surgery |
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| Title | A Modified Algorithm-Based Levator Aponeurectomy in Mild to Moderate Congenital Blepharoptosis |
| URI | https://link.springer.com/article/10.1007/s00266-024-04003-3 https://www.ncbi.nlm.nih.gov/pubmed/38578308 https://www.proquest.com/docview/3064411736 https://www.proquest.com/docview/3034243600 |
| Volume | 48 |
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