[The role of releasing the fibrous bundles across levator muscle in correcting congenital blepharoptosis].
OBJECTIVE
To investigate the role of releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus in the correction of the congenital blepharoptosis.


METHODS
Twenty-seven patients with 40 eyes of blepharoptosis were undergoing the treatment. It was performed by releasing the fibrous bundles across the levator muscle between the medial canthus and lateral canthsus near the top of tarsus to correct the mild and moderate blepharoptosis. A further procedure can also be added to by folding the levator aponeurosis if necessary. In the severe blepharoptosis, the frontalis aponeurose flap may be applied for the suspension as well during the operation.


RESULTS
Of the 40 eyes in 27 cases with mild, moderate and severe blepharoptosis were treated by using this method, with 38 eyes corrected satisfactorily and 2 eyes corrected mostly in the following-ups from 3 months to 1 year.


CONCLUSIONS
The above mentioned technique may be a good, simple and effect method to corret congenital blepharoptosis.
Ouyang
Tian-xiang
TX
Department of Plastic Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
Xing
Xin
X
Li
Jun-hui
JH
Liu
Jun
J
Hao
Lan
L
Yuan
Si-ming
SM
Guo
En-tan
ET
D000293:Adolescent; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000151:congenital* / Q000601:surgery*; D002648:Child; D005143:Eyelids / Q000601:surgery; D005152:Facial Muscles; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D013524:Surgical Flaps