Evaluation of the Surgical Treatment for Congenital Blepharoptosis Using Mustarde’s Modified Method

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Abstract

The aim of the study was evaluation of the results of surgical treatment of congenital blepharoptosis (CBP) using Mustarde’s modified method.

Material and methods. Between 2005-2014 forty eight children with CBP underwent surgical correction of CBP by Mustarde’s modified method. Basing on the results of ophthalmic and orthoptic examination, and standard measurements, we estimated postoperative difference in the position and symmetry of the upper eyelids, and postoperative complications in our patients.

Results. Very good results were obtained in all cases with mild, in 89.5% with moderate, and in 85.7% with severe unilateral CBP after correction by Mustarde’s modified method. Lagophthalmos was seen in 6.25%, and undercorrection in 12.5% of cases.

Conclusions. 1. Mustarde’s modified method allows for obtaining very good functional and aesthetic results in CBP patients. 2. Mustarde’s modified method is a valuable supplemental surgical technique in CBP, and contributes to a low rate and small range of lagophthalmos.

1. Griepentrog GJ, Diehl N, Mohney BG: Incidence and Demographic of Childhood Ptosis. Ophthalmology 2011; 118: 1180-83.

2. Lemagne JM, Colonval S, Moens B et al.: Modification anatomique du muscle releveur de la paupiere dans le ptosis congenital. Bull Soc Belge Ophthalmol 1992; 243: 23-27.

3. Speath EB: An analysis of the causes, types, and factores important to the correction of the congenital blepharoptosis. Am J Ophthalmol 1971; 71: 696-717.

4. Allard FD, Durairaj VD: Current Techniques in Surgical Correction of Congenital Ptosis. M E African J Ophthalmol 2010; 17: 129-33.

5. Sakol PJ, Mannor G, Massaro BM: Congenital and acquired blepharoptosis. Curr Opin Ophthalmol 1999; 10: 335-39.

6. Crawford JS, Iliff CE, Stasior OG: Symposium on Congenital Ptosis. J Pediat Ophthalmol Strab 1982; 19: 245-58.

7. Hornblass A, Kass LG, Ziffer AJ: Amblyopia in Congenital Ptosis. Ophthal Surg 1995; 26: 334-37.

8. Langford JD, Linberg JV, Blaylock WK et al.: Axial myopia in congenital ptosis: An animal model. Ophthal Plast Reconstr Surg 1998; 14: 261-65.

9. Mustarde JC: Ptosis. In: Mustarde JC Repair and Reconstruction in the Orbital Region: A Practical Guide. 2nd ed. Edinburgh: Churchill Livingstone 1980, pp. 304-28.

10. Hylkema HA , Koornneef L: Treatment of ptosis by levator resection with adjustable sutures via the anterior approach. Br J Ophthalmol 1989; 73: 416-18.

11. Bartisch G: Chapter XIV reports on heavy long eyelids, the ninth part about heavy In: Bartisch G: Ophthalmodouleia, das ist augendienst. Dresden: M Stockel; 1583 pp. 178-82.

12. Everbusch Q: Zur operation der congenital blepharoptosis. Klein Mbl Augenhk 1883; 21: 100-05.

13. Blascovics L: A new operation for ptosis with shortening of the levator and tarsus. Arch Ophthal 1923; 52: 563-73.

14. Mustarde JC: Problems and possibilities in ptosis surgery. Plast Reconstr Surg 1975; 56: 381-88.

15. Beard C: Examination and evaluation. In: Callahan MA, Beard C. Beard’s ptosis. 4th ed. Birmingham: Aesculapius Publishing Company; 1990, pp. 88-95.

16. Saunders RA, Grice CM: Early Correction of Severe Congenital Ptosis. J Pediat Ophthalmol Strab 1991; 28: 271-73.

17. Callahan MA: General considerations for the surgical treatment of ptosis. In: Callahan MA, Beard C. Beard’s ptosis. 4th ed. Birmingham: Aesculapius Publishing Company; 1990, pp. 96-112.

18. Jordan DR, Anderson RL: The aponeurotic approach to congenital ptosis. Ophthalmic Surg 1990; 21: 237-44.

19. Skaat A, Fabian ID, Spierer A et al.: Congenital ptosis repair-surgical, cosmetic, and functional outcome: a report of 162 cases. Can J Ophthalmol 2013; 48: 93-98.

20. Iljin A, Loba A, Omulecki W et al.: Congenital blepharoptosis: Part I. Evaluation of the results of surgical treatment for congenital blepharoptosis. Acta Chir Plast 2003; 45: 8-12.

21. Iljin A, Zieliński T, Broniarczyk-Loba A, Antoszewski B: Evaluation of the complex treatment for congenital blepharoptosis. Can J Plast Surg 2016; 24 (X): 1-4.

22. Dayal Y, Crawford JS: Evaluation of the Results of Surgery to Correct Congenital Ptosis of the Upper Eyelid. Surgery of Congenital Ptosis. Canad Med Ass J 1966; 94: 1172-77.

23. Edmonson BC, Wulc AE : Ptosis Evaluation and Management. Otolaryngol Clin N Am 2005; 38: 921-46.

24. Callahan MA: Surgery for levator maldevelopment ptosis. In: Callahan MA, Beard C Beard’s ptosis. 4th ed. Birmingham: Aesculapius Publishing Company 1990; pp. 113-67.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

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CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
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