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NR 4-6/2008
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Analiza wyników
leczenia 389 chorych z wrodzonym opadaniem powiek
Analysis of treatment
results 389 patients with congenital blepharoptosis
Kazimierz Kobus, Piotr Wójcicki, Dariusz
Rychlik
Z Kliniki Chirurgii Plastycznej Akademii Medycznej we Wrocławiu
Z Oddziału Chirurgii Plastycznej Specjalistycznego Centrum
Medycznego
w Polanicy Zdroju
Kierownik: prof. dr hab. n. med. Kazimierz Kobus |
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| Summary: |
Purpose:
Retrospective analysis of the results in the treatment
of congenital blepharoptosis.
Material and methods: We retrospectively reviewed
the records of 389 patients with blepharoptosis who
underwent surgical treatment in the Hospital of Plastic
Surgery in Polanica-Zdrój, from January 1976 to January
2005. The age of patients, degree of malformation and
unilateral or bilateral occurrence of ptosis, was
analyzed. Moreover, we studied treatment results of
patients with blepharoptosis treated in our hospital and
patients treated elsewhere, before admission to our
hospital.
Results: 218 patients from 327 operated in our
hospital had levator muscle resections. After 6 months
of observation 39 patients were qualified for surgical
re-correction. 12 months after surgery 4 patients had
recurrence of ptosis . Frontalis suspension technique
with using the temporal fascia,was performed in 109
patients. After 6 months observation, 8 patients were
qualified for surgical re-correction.
Conclusions: For patients with maintained
function of the levator muscle the most effective and
physiological procedure, is the muscle shortening.
Frontalis suspension technique with use of the temporal
fascia should be limited to treat failure cases and
patients with poor or absent function of the levator
muscle. |
| Słowa kluczowe: |
wrodzone opadanie powiek,
skrócenie mięśnia dźwigacza, podwieszenie powieki na
paskach powięzi. |
| Key words: |
congenital blepharoptosis,
levator palpebrae muscle shortening, eyelid suspension
on fascia stripes. |
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