Abstract:
:The purpose of this study was to investigate the correlation between the oculocardiac reflex (OCR) and blepharoptosis surgery for safe eyelid surgery. Fifty-four consecutive patients with bilateral aponeurotic blepharoptosis were enrolled in this study. Changes in electrocardiography (ECG) monitoring were recorded during surgery. Preoperative pressing on the globe and intraoperative stretching of the levator aponeurosis were also carried out and the occurrence rate of the OCR was recorded. A positive OCR was observed in 12 patients (22.2%) in the preoperative globe-pressing test, whereas a positive OCR was observed in 22 patients (40.7%) in the levator-stretching test. The levator-stretching test did not indicate a significant difference in the rate of heart rate decrease with respect to laterality. No correlation was observed between age and the occurrence of OCR. On the other hand, there was a significant difference in the percentage of heart rate decrease between patients with positive OCR and negative OCR as determined in the globe-pressing test (mean = 13.1% vs. 5.4%). During the practical operative manoeuvre, no bradycardia was observed in any case. This study confirmed that a rapid and strong traction of levator aponeurosis induces the OCR regardless of laterality and age. Atraumatic and gentle handling are essential to prevent OCR. The preoperative globe-pressing test may be an index of the OCR in reflex-prone patients. Intraoperative ECG monitoring will be useful for early onset detection, although positive OCR was not observed in any patient during the practical surgical manoeuvre.
journal_name
J Plast Surg Hand Surgjournal_title
Journal of plastic surgery and hand surgeryauthors
Uda H,Sugawara Y,Sarukawa S,Sunaga Adoi
10.3109/2000656X.2013.836529subject
Has Abstractpub_date
2014-06-01 00:00:00pages
170-4issue
3eissn
2000-656Xissn
2000-6764journal_volume
48pub_type
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journal_title:Journal of plastic surgery and hand surgery
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章,评审
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journal_title:Journal of plastic surgery and hand surgery
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journal_title:Journal of plastic surgery and hand surgery
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
doi:10.3109/2000656X.2013.765885
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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journal_title:Journal of plastic surgery and hand surgery
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