الفهرس | Only 14 pages are availabe for public view |
Abstract ABSTRACT Blepharoptosis – non incisional { threading } levator plication : Mohsen S. Badawy, Osama M. ELnahrawy, Ahmed A. Abd el ghany, Heba M. Khalaf. Purpose To evaluate the effect of non incisional {threading } levator plication in cases of mild to moderate blepharoptosis. Design An interventional study to evaluate non incisional{ threading}levator plication in cases of mild to moderate blepharoptosis. Methods We do a nylon threading 7/0 through the skin using a guiding syringe needle gauge No: 21 and the superior levator palpebral muscle and muller muscle are tucked in by sutures guided to tarsus surface then threads are tightened till the lid margin is elevated to the correct level , the thread is knotted and insert it under the skin and orbicularis muscle . A total of 21 eyelids of 18 patients underwent this procedure. Results A total of 18 patients (12 males, 6 females, mean age 40 years). 19 eyelids were normal corrected or within 0.5 mm of normal giving a success rate of 90.5% . One patient 4.8% was elevated within 1 mm of normal, and it was accepted. One case 4.8% was undercorrected. An excellent lid contour was noted in all cases except one that had a little irregularity of lid margin which was corrected spontaneously within one month. Conclusions Non incisional { threading } levator plication technique is a safe and effective surgery for treatment of mild to moderate blepharoptosis. It has a high success rate and good cosmetic outcome. |