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논문검색

학회지 > 논문검색
논문 검색
In Ho park, Sung Shin Wee, Sang Tae Ahn
Department of Plastic and Reconstructive Surgery Catholic University Medical College, Seoul, Korea
CORRECTION OF BLEPHAROPTOSIS WITH DOUBLE EYELID OPERATION
J Korean Soc Aesth Surg 1995 (Sep) 001(11) 296-301
Blepharoptosis Levator resection, Double eyelid operation
Ksaps001-02-11.pdf Ksaps001-02-11.pdf
Blephaoptosis refers to drooping of the upper eyelid due to weakness of the levator muscle or Mueller's muscle.
 In correction of ptosis, symmetry of lid contour, lash position and lid height must be matched.
 Most of unilateral congenital blepharoptosis patients wnat to perform both the double eyelid operation and ptosis repair at the same time to achieve the best cosmetic and functional result.
 Using a surgical technique directed at levator aponeurosis (anterior levator approach) with double eyelid operation, we corrected 18 cases of unilateral congenital blepharoptosis. Avoidance of overcorrection in lid margin position and symmetrization between the upper lids are important.
 In unilateral ptosis with good or fair levator function, levator aponeurosis resection was performed and the lid margin position was adjusted at 1-2mm below superior limbus. Lid crease height of the ptotic eye is determined 2-3mm lower than that of normal side. Whitnall's sling with superior tarsectomy was performed in poor function ptosis case. Lid margin position is adjusted at the level of superior limbus and the lid crease height of the ptotic eye is determined 3-4mm lower than that of nonptotic side.
 The advantages of this approach are: normal anatomic planes of the eyelid are maintained: obtain symmetry of both eyelids relatively easily; entropion may be prevented; achieve aesthetically pleasing results.
박인호, 위성신, 안상태
가톨릭대학교 의과대학 성형외과학교실
이중안검술을 병행한 편측성 안검하수증의 치험례
1995 (Sep) 001(11) 296-301