내시경을 사용하지 않은 근절개술을 이용한 전두거상술

Forehead Lift using Non-endoscopic Myotomy

  • 한기환 (계명대학교 의과대학 성형외과학교실) ;
  • 정영진 (계명대학교 의과대학 성형외과학교실) ;
  • 김현지 (계명대학교 의과대학 성형외과학교실) ;
  • 김준형 (계명대학교 의과대학 성형외과학교실) ;
  • 손대구 (계명대학교 의과대학 성형외과학교실)
  • Han, Ki Hwan (Deparment of Plasic and Reconstructive Surgery, College of Medicine, Keimyung University) ;
  • Jung, Young Jin (Deparment of Plasic and Reconstructive Surgery, College of Medicine, Keimyung University) ;
  • Kim, Hyun Ji (Deparment of Plasic and Reconstructive Surgery, College of Medicine, Keimyung University) ;
  • Kim, Jun Hyung (Deparment of Plasic and Reconstructive Surgery, College of Medicine, Keimyung University) ;
  • Son, Dae Gu (Deparment of Plasic and Reconstructive Surgery, College of Medicine, Keimyung University)
  • 투고 : 2005.09.22
  • 발행 : 2006.01.10

초록

The challenge of accurately predicting eyelid height after blepharoptosis surgery is well-known problem even in complete hands. From May 1988 to December 2004, authors reviewed 182 cases(240 eyes) of blepharoptosis corrected by frontalis muscle transfer or levator resection and had experienced 10 cases(15 eyelids) of early reoperation around the first week. The period from initial operation to reoperation are between six to eight days and mean period is seven days. Initial operative procedures were frontalis muscle transfer in 3 cases(4 eyelids) and levator resection in 7 cases(11 eyelids). Follow up period ranged from 6 months to 16 years. Early adjusting surgery was performed in accordance with the preoperative and postoperative degree of ptosis of patient and by previous operative technique. The results are evaluated according to the criteria of an ideal correction by Souther and Jordan. Seven patients have good or satisfactory results(less than 1 mm asymmetry, good in 5 cases and satisfactory in 2 cases). Three patients(5 eyelids) recorded as poor results(more than 2 mm asymmetry). Even if early or late reoperation can be effective in correcting unsatisfactory results after correction of blepharoptosis, early reoperation may lead to better results than late reoperation because early reoperation can offer a reduction in time to final result, the ease with which it is performed and potential cost savings. The experience of surgeon is also important factor for the treat ment of recurred blepharoptosis.

키워드

참고문헌

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