title: [Resection of the Müller muscle. Indications, technique and results].
abstract: From 1987 to 1992, 582 operations for blepharoptosis were performed in our department. Twenty-five cases of superior tarsal muscle resection in 22 patients were reviewed retrospectively and serve as the basis of the present study. The blepharoptosis was mild to moderate (up to 4 mm) in 20/25 cases. Preoperatively, the phenylephrine eye drops test was positive in 20/25 cases. The indication for both congenital and acquired blepharoptosis was independent of the activity of the levator muscle. The resection was performed by a conjunctival approach. Three techniques of muscle stump refixation were tested without any significant difference in the results. A satisfactory eyelid elevation of more than 2 mm was achieved in 16/25 operations. A moderate effect (1-2 mm) was measured in 5/25 and an unsatisfactory effect (< 1 mm) in 4/25 cases. In contrast to the Fasanella-Servat procedure, the above-mentioned technique leaves all other structures of the upper eyelid intact, especially the accessory lacrimal glands.
authors.affiliation: Augenklinik, Krankenhaus der Barmherzigen Brüder, Trier.
authors.forename: U P
authors.initials: UP
authors.lastname: Press
authors.forename: K
authors.initials: K
authors.lastname: Schayan-Araghi
authors.forename: R
authors.initials: R
authors.lastname: Juranek
authors.forename: H
authors.initials: H
authors.lastname: Hübner
mesh_terms: D000328:Adult; D001763:Blepharoptosis / Q000209:etiology / Q000601:surgery*; D002648:Child; D005143:Eyelids / Q000601:surgery; D005152:Facial Muscles / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D013536:Suture Techniques; D016896:Treatment Outcome
vernacular_title: Die Müller-Muskel-Resektion. Indikation, Technik und Ergebnisse.