title: Elevator Muscle Anterior Resection: A New Technique for Blepharoptosis.
abstract: Blepharoptosis is a condition of inadequate upper eyelid position, with a downward displacement of the upper eyelid margin resulting in obstruction of the superior visual field. Levator resection is an effective technique that is routinely used to correct aponeurotic ptosis. The anterior levator resection is the procedure of choice in moderate blepharoptosis when there is moderate to good levator muscle function, furthermore, with an anterior approach, a greater resection can be achieved than by a conjunctival approach. The authors describe a modification in the Putterman technique with a resection done over a plicated elevator, plication that was suggested by Mustardè. The technique has been named as elevator muscle anterior resection. The elevator muscle anterior resection inspires from the Fasanella-Servat operation by the use of a clamp, making the operation simple and predictable.
authors.affiliation: *Department of Surgical Sciences and Transplants, Ophthalmology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna †Department of Surgical Specialities, Division of Plastic Surgery, University Hospital G. Martino, University of Messina, Messina ‡Department of Ophthalmology, University of Rome "La Sapienza," Rome §Low Vision Academy, Bologna ||Department of Ophthalmology, Magna Graecia University, Catanzaro, Italy ¶The Eye Center and Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia #Department of Surgical Specialities, Ophthalmology Clinic, University Hospital G. Martino, University of Messina, Messina, Italy.
authors.forename: Gian Luigi
authors.initials: GL
authors.lastname: Zigiotti
authors.forename: Gabriele
authors.initials: G
authors.lastname: Delia
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Grenga
authors.forename: Francesco
authors.initials: F
authors.lastname: Pichi
authors.forename: Miguel
authors.initials: M
authors.lastname: Rechichi
authors.forename: Mahmoud O
authors.initials: MO
authors.lastname: Jaroudi
authors.forename: Francesco Stagno
authors.initials: FS
authors.lastname: d'Alcontres
authors.forename: Flavia
authors.initials: F
authors.lastname: Lupo
authors.forename: Alessandro
authors.initials: A
authors.lastname: Meduri
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001763:Blepharoptosis / Q000601:surgery*; D003228:Conjunctiva / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000295:instrumentation; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult