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The Function-Preserving Frontalis Orbicularis Oculi Muscle Flap for the Correction of Severe Blepharoptosis With Poor Levator Function.

Abstract：

BACKGROUND:Severe blepharoptosis with poor LF has traditionally been managed with exogenous frontalis suspension but complications such as lagophthalmos, infection, rejection were often reported. OBJECTIVES:The function-preserving frontalis orbicularis oculi muscle (FOOM) flap was designed to correct severe blepharoptosis with poor levator function (LF). With preservation of the OOM function, the long-term surgical outcome of the technique was assessed. METHODS:This retrospective study included only adult patients with severe blepharoptosis and poor LF, all of whom had their surgery performed by the senior surgeon, Lai CS, over a 6-year period. Clinical assessment of LF, palpebral fissure height (PFH), marginal reflex distance 1 (MRD1), duration of follow up, and postoperative complications were recorded. RESULTS:34 patients and 59 eyelids were recorded during a mean follow-up period of 17.7 months. Postoperative evaluation yielded improvements of an average PFH gain of 5.62 ± 1.61 mm (p < 0.001) as well as MRD1 and PFH increase by an average of 4.03 ± 0.82 mm (p < 0.001) and 8.94 ± 0.81 mm (p < 0.001), respectively. All patients demonstrated normalization of orbicularis function as no lagophthalmos was observed at the 8-month postoperative follow up. Recurrence of ptosis were recorded in four eyelids (6.78%). Revisions were performed in two eyelids (3.39%). No infection or granuloma was noted. CONCLUSIONS:The function-preserving FOOM flap is a useful vector for frontalis suspension. Not only does it effectively address lagophthalmos as well as other complications, but it provides aesthetically pleasing outcomes in patients with severe blepharoptosis and poor LF.

journal_name

Aesthet Surg J

journal_title

Aesthetic surgery journal

authors

Huang SH,Lee CC,Lai HT,Takahashi H,Wang YC,Lai CS

doi

10.1093/asj/sjaa429

subject

Has Abstract

pub_date

2021-01-05 00:00:00

eissn

1090-820X

issn

1527-330X

pii

6064674

pub_type

杂志文章

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