[One-stage surgical treatment of congenital blepharophimosis syndrome].
OBJECTIVE
To explore the clinical effect of combining medial and lateral canthoplasty with blepharoptosis correction at one-stage for congenital blepharophimosis syndrome.


METHODS
From January 2002 to May 2006, 26 patients (52 sides) with congenital blepharophimosis syndrome were treated. There were 16 males and 10 females, aging from 3 to 35 years (mean 8.5 years). They were all bilateral blepharoptosis significantly. The palpebral muscle force was 0-3 mm; the transverse dimension and vertical dimension of the palpebral tissue were 13-22 mm and 2-4 mm; the intercanthal distance was 33-44 mm; the levator function was 1-3 mm.


RESULTS
Twenty-six patients underwent medial canthoplasty and blepharoptosis correction of them. 12 patients were also given lateral canthoplasty at one-stage. The postoperative transverse dimension and vertical dimension of the palpebral tissue were 6-8 mm and 24-32 mm, respectively. The intercanthal distance was 29-34 mm. The levator function was 4-6 mm. The supratarsal fold in the upper lid was natural. With a follow up of 3 months to 4 years. all patients were satisfied with their results.


CONCLUSIONS
One-stage surgical treatment of combining medial and lateral canthoplasty with blepharoptosis correction can achieve good result for blepharophimosis syndrome with a shortened treatment time.
Ren
Min
M
Department of Maxillo-Facial Surgery. Plastic Surgery Hospital of Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100041, PR China. Renmin1977@yahoo.com.cn
Teng
Li
L
Feng
Guoping
G
D000293:Adolescent; D000328:Adult; D016569:Blepharophimosis / Q000473:pathology / Q000601:surgery*; D019882:Blepharoplasty; D001763:Blepharoptosis / Q000473:pathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult