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Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery.

Publication ,  Journal Article
Dryden, SC; Rho, JE; Fowler, SC; Gannon, EW; Houser, KH; Fleming, JC; Fowler, BT
Published in: J Craniofac Surg
September 1, 2021

The Muller muscle-conjunctival resection is a common technique used to treat blepharoptosis, but there is variability with the target surgical resection and expected postoperative outcomes measured by marginal reflex distance-1 (MRD1). A Levator-Mullerectomy is a novel surgical approach described by Morris et al to incorporate the levator palpebrae superioris in the same incision as the classic Muller muscle-conjunctival resection in the treatment of blepharoptosis. This a retrospective study of patients who underwent Levator-Mullerectomy for ptosis repair showing the clinical outcomes based on MRD1. Statistical analysis was performed using analysis of variance and a nonparametric Kruskal-Wallis test. One hundred-twelve eyes of 83 patients (29 bilateral cases) with a mean age 64.6 years (7-92 years) were included. The types and prevalence of blepharoptosis were involutional (83%), neurogenic (8.0%), traumatic (3.6%), apraxia (2.7%), and congenital (2.7%). There was no significant difference in clinical outcome based on type of blepharoptosis (P = 0.7). Target resection lengths of 8 mm, 10 mm, and 12 mm were compared with postoperative MRD1 change. The mean change in MRD 1 between 8 mm and 10 mm was found to be statistically significant (P = 0.001 for both) but was not statistically significant for the 12 mm resection (P = 0.8). In patients with blepharoptosis and a positive response to 2.5% phenylephrine can benefit from Levator-Mullerectomy with either an 8 mm or 10 mm resection. This novel surgical approach allows surgeons to produce a more predictable and consistent clinical outcome.

Duke Scholars

Published In

J Craniofac Surg

DOI

EISSN

1536-3732

Publication Date

September 1, 2021

Volume

32

Issue

6

Start / End Page

e554 / e556

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Retrospective Studies
  • Oculomotor Muscles
  • Middle Aged
  • Humans
  • Dentistry
  • Conjunctiva
  • Blepharoptosis
  • Blepharoplasty
  • 3203 Dentistry
 

Citation

APA
Chicago
ICMJE
MLA
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Dryden, S. C., Rho, J. E., Fowler, S. C., Gannon, E. W., Houser, K. H., Fleming, J. C., & Fowler, B. T. (2021). Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery. J Craniofac Surg, 32(6), e554–e556. https://doi.org/10.1097/SCS.0000000000007554
Dryden, Stephen C., Jonathan E. Rho, Samuel C. Fowler, Edwin W. Gannon, Kourtney H. Houser, James C. Fleming, and Brian T. Fowler. “Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery.J Craniofac Surg 32, no. 6 (September 1, 2021): e554–56. https://doi.org/10.1097/SCS.0000000000007554.
Dryden SC, Rho JE, Fowler SC, Gannon EW, Houser KH, Fleming JC, et al. Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery. J Craniofac Surg. 2021 Sep 1;32(6):e554–6.
Dryden, Stephen C., et al. “Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery.J Craniofac Surg, vol. 32, no. 6, Sept. 2021, pp. e554–56. Pubmed, doi:10.1097/SCS.0000000000007554.
Dryden SC, Rho JE, Fowler SC, Gannon EW, Houser KH, Fleming JC, Fowler BT. Postoperative Clinical Outcomes Using Standard Variables Following Levator-Mullerectomy Advancement Blepharoptosis Surgery. J Craniofac Surg. 2021 Sep 1;32(6):e554–e556.

Published In

J Craniofac Surg

DOI

EISSN

1536-3732

Publication Date

September 1, 2021

Volume

32

Issue

6

Start / End Page

e554 / e556

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Retrospective Studies
  • Oculomotor Muscles
  • Middle Aged
  • Humans
  • Dentistry
  • Conjunctiva
  • Blepharoptosis
  • Blepharoplasty
  • 3203 Dentistry