Microincision aponeurotic ptosis surgery of upper lid

Abstract: The paper is a prospective study of 23 lids of 20 patients with upper lid aponeurotic ptosis operated using microincision technique in period 2005-2008. There were 7 males and 13 females. Age of the patients was 28–83 years (y), average 61±17 y, for female 63±13.4 y and for male 61±19 y. I...

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Matična publikacija: Collegium antropologicum
33 (2009), 3 ; str. 915-918
Glavni autor: Kuzmanović Elabjer, Biljana (-)
Ostali autori: Bušić, Mladen, liječnik (-), Elabjer, Esmat, Sekelj, Sandra, Kondža-Krstonijević, Edita
Vrsta građe: Članak
Jezik: eng
Predmet:
Online pristup: Collegium Antropologicum
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008 100526s2009 ci ||| ||eng
035 |9 (HR-ZaNSK)740332 
035 |a (HR-ZaNSK)000737703 
040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng  |b hrv 
042 |a croatica 
080 |a 617  |2 MRF 1998. 
100 1 |a Kuzmanović Elabjer, Biljana 
245 1 0 |a Microincision aponeurotic ptosis surgery of upper lid /  |c Biljana Kuzmanović Elabjer, Mladen Bušić, Esmat Elabjer, Damir Bosnar, Sandra Sekelj and Edita Kondža Krstonijević. 
300 |b Ilustr. 
504 |a Bibliografija: 13 jed 
504 |a Sažetak 
520 8 |a Abstract: The paper is a prospective study of 23 lids of 20 patients with upper lid aponeurotic ptosis operated using microincision technique in period 2005-2008. There were 7 males and 13 females. Age of the patients was 28–83 years (y), average 61±17 y, for female 63±13.4 y and for male 61±19 y. Inclusion criteria were: aponeurotic upper lid ptosis more than 2 mm, no other lid abnormalities, minimal dermatochalasis, no previous or concomitant lid surgery. The procedure was performed in local anesthesia through 10 mm cut. Aponeurosis was fixated to the tarsal plate with two sutures. Success was considered if operated lid height differed up to 0.5 mm of the other eye and margin-to-reflex distance was 2–4 mm in primary position. Postoperative results regarding contour, skin crease and lash position were good in all patients. Regarding height, 19/23 (83%) met criteria of 0.5 mm of the other eye and MRD 2–4 mm. In one bilateral procedure there was an asymmetry of 1 mm. Three patients with unilateral procedure had at least 1mm asymmetry comparing to the other eye. Reoperation was neccessary in two bilateral cases. Lid fold was symmetrical only in 7 patients (35%). The rest had slight to grose lid fold asymmetry. Complications were scarce, in early postoperative period there was hematoma in two patients lasting up to three weeks. Late failure was noticed in two cases 6 and 8 months postoperatively. Advantages are: less anesthetic results in less decreased levator function and more accurate assessment of eyelid position intraoperatively, less distortion of the lid due to less bleeding and edema, shorter operation time, less scarring and shortened recovery time. However it can be used only in selective cases 
653 0 |a Aponeuroza  |a Vjeđa  |a Mikroincizijska operacija 
700 1 |a Bušić, Mladen,  |c liječnik 
700 1 |a Elabjer, Esmat 
700 1 |a Sekelj, Sandra 
700 1 |a Kondža-Krstonijević, Edita 
773 0 |t Collegium antropologicum  |x 0350-6134  |g 33 (2009), 3 ; str. 915-918  |w nsk.(HR-ZaNSK)000000360 
981 |b B04/09  |p CRO 
998 |a rado100526  |c vol2o130328 
856 4 2 |u http://hrcak.srce.hr/coll-antropol  |y Collegium Antropologicum