Efficacy comparison of modified conjiont fascial sheath suspension combined with tension-free shortening of the levator muscle complex and frontalis muscle flap suspension for severe ptosis correction
HAN Wenjuan
LI Yibo
QIN Wenying
CAO Ting
LI Yan
Abstract：Objective To compare the efficacy of the modified conjiont fascial sheath(CFS)suspension combined with levator muscle(LM)complex tension-free shortening correction and frontalis muscle flap suspension for severe ptosis correction.Methods A to-tal of 142 patients(244 eyes)with severe ptosis received in Department of Plastic Surgery in the First Affiliated Hospital of Air Force Medi-cal University from May 2021 to April 2024 were included.Patients were divided into two groups based on the surgical method:67 cases(116 eyes)who underwent the modified CFS suspension combined with LM complex tension-free shortening correction were included in the observation group,and 75 cases(128 eyes)who underwent frontalis muscle flap suspension were included in the control group.Postopera-tive correction effects,eyelid closure degree,cosmetic effects,surgical complications,and patient satisfaction were compared at 3 months.Results The observation group exhibited a notably higher correction rate at 93.97％compared to the control group's 83.59％,with statis-tical significance(P＜0.05).The observation group demonstrated a significantly superior postoperative eyelid closure degree than the control group,which was also statistically significant(P＜0.05).There was no statistically significant difference in cosmetic effects,including eyelid height,eyelid curvature,and double eyelid condition,between the two groups(P＞0.05).The incidence of surgical complications in the ob-servation group(4.31％)was lower than that in the control group(7.03％),but the difference was not statistically significant(P＞0.05).Patient satisfaction in the observation group(94.03％)was significantly higher than that in the control group(80.00％),P＜0.05.Conclusion The modified CFS suspension combined with LM complex tension-free shortening correction is associated with better correction rates,eyelid closure degree,and patient satisfaction in the treatment of severe ptosis,with a lower incidence of surgical complications,and is worth pro-moting and applying.
Keywords：Severe ptosisConjiont fascial sheath suspensionLevator muscle shorteningFrontalis muscle flap suspensionMod-ified surgical procedureEfficacy comparison
Publication Date：2025-01-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 14-17 )