Research Article
Year 2019,
Volume: 5 Issue: 1, 1 - 7, 04.04.2019
Abstract
Amaç: Bu çalışmada pitozis nedeniyle ameliyat edilen hastalarda farklı cerrahi teknik ve materyallerin sonuçları değerlendirildi.
Gereç ve yöntemler: Göztepe Eğitim ve Araştırma Hastanesi Göz Hastalıkları kliniğinde Ekim 2008 - Kasım 2009 tarihleri arasında pitozis tanısı ile 25 hastanın (15 erkek, 10 kadın; ort. yaş 38.8 yıl; dağılım, 3-78 yıl) 35 göz kapağı ameliyat edildi ve sonuçlar prospektif olarak incelendi.
Bulgular: Pitozis türü 10 hastada doğuştan (6 myojenik, 3 aponevrotik ve 1 nörojenik) ve 15 hastada edinsel (14 aponevrotik ve 1 nörojenik) idi. Aponevrotik pitozisli 17 hastaya levator aponevroz cerrahisi, zayıf levator fonksiyona sahip yedi hastaya frontal askılama cerrahisi ve nörojenik (Marcus Gunn jaw-winking) pitozisi olan bir hastaya levator rezeksiyonu ile kombine frontal askılama cerrahisi uygulandı. Yirmi iki hastada (%88) istenen kapak düzeyi elde edildi. Takip süresi ortalama 8.5 ay (3-13 ay) idi. Takip süresince 35 gözün ikisinde (%5.7) nüks gelişti.
Sonuç: Pitozis için uygulanacak cerrahi yönteme karar vermede klinik değerlendirme önemlidir. Patogeneze göre doğru endikasyon ile cerrahilerin sonuçları oldukça tatmin edicidir.
Keywords
References
- 1. Yazıcı B, Dolar Bilge A. Aponevrotik ptozis. In: Argın MA, editör. Blefaroptozis. 1. Baskı. Ankara: Türkiye Klinikleri; 2018. s.19-24. 2. Cetinkaya A, Brannan PA. Ptosis repair options and algorithm. Curr Opin Ophthalmol. 2008;19:428-34. 3. Frueh BR. The mechanistic classification of ptosis. Ophthalmology 1980;87:1019-21. 4. Thakker MM, Rubin PA. Mechanisms of acquired blepharoptosis. Ophthalmol Clin North Am 2002;15:101-11. 5. Nerad JA. Oculoplastıc Surgery: The Requisities in Ophthalmology. St Louis: Mosby; 2001. 6. Clauser L, Tieghi R, Galiè M. Palpebral ptosis: clinical classification, differential diagnosis, and surgical guidelines: an overview. J Craniofac Surg 2006;17:246-54. 7. Lee MJ, Oh JY, Choung HK, Kim NJ, Sung MS, Khwarg SI. Frontalis sling operation using silicone rod compared with preserved fascia lata for congenital ptosis a three-year follow-up study. Ophthalmology 2009;116:123-9. 8. Tyers AG, Collin JRO. Colour Atlas of Ophthalmic Plastic Surgery. 3rd ed. China: Butterworth Heinemann; 2008. 9. Wright WW. The use of living sutures in the treatment of ptosis. Arch Ophthalmol 1922;51:99-102. 10. Crawford JS. Repair of ptosis using frontalis muscle and fascia lata: a 20-year review. Ophthalmic Surg 1977;8:31-40. 11. O’Reilly J, Lanigan B, Bowell R, O’Keefe M. Congenital ptosis: longterm results using stored fascia lata. Acta Ophthalmol Scand 1998;76:346-8. 12. Hersh D, Martin FJ, Rowe N. Comparison of silastic and banked fascia lata in pediatric frontalis suspension. J Pediatr Ophthalmol Strabismus 2006;43:212-8. 13. Wagner RS, Mauriello JA Jr, Nelson LB, Calhoun JH, Flanagan JC, Harley RD. Treatment of congenital ptosis with frontalis suspension: a comparison of suspensory materials. Ophthalmology 1984;91:245-8. 14. Wilson ME, Johnson RW. Congenital ptosis. Long-term results of treatment using lyophilized fascia lata for frontalis suspensions. Ophthalmology 1991;98:1234-7. 15. Wasserman BN, Sprunger DT, Helveston EM. Comparison of materials used in frontalis suspension. Arch Ophthalmol 2001;119:687-91. 16. Tillett CW, Tillett GM. Silicone sling in the correction of ptosis. Am J Ophthalmol 1966;62:521-3. 17. Carter SR, Meecham WJ, Seiff SR. Silicone frontalis slings for the correction of blepharoptosis: indications and efficacy. Ophthalmology 1996;103:623-30. 18. Ünal M, Bozan E, Konuk O, Hasanreisoglu B. Frontal askılama materyalinin seçimi on yıllık deneyimlerimiz, T Oft Gaz 2005;35:271-9. 19. Yazici B, Beden U. Use of 0.5% apraclonidine solution in evaluation of blepharoptosis. Ophthalmic Plast Reconstr Surg 2008;24:299-301. 20. Grace Lee N, Lin LW, Mehta S, Freitag SK. Response to phenylephrine testing in upper eyelids with ptosis. Digit J Ophthalmol 2015;21:1-12. 21. Patel RM, Aakalu VK, Setabutr P, Putterman AM. Efficacy of Muller’s muscle and conjunctiva resection with or without tarsectomy for the treatment of severe involutional blepharoptosis. Ophthalmic Plast Reconstr Surg 2017;33:273-8. 22. Jones LT, Quickert MH, Wobig JL. The cure of ptosis by aponeurotic repair. Arch Ophthalmol 1975;93:629-34. 23. Ünal M. Levator aponevroz cerrahisi. T Klin Oftalmoloji 1997;6:98-105. 24. Older JJ. Levator aponeurosis surgery for the correction of acquired ptosis. Analysis of 113 procedures. Ophthalmology 1983;90:1056-9. 25. Berlin AJ, Vestal KP. Levator aponeurosis surgery. A retrospective review. Ophthalmology 1989;96:1033-6. 26. Jordan DR, Anderson RL. The aponeurotic approach to congenital ptosis. Ophthalmic Surg 1990;21:237-44. 27. Ahmad SM, Della Rocca RC. Blepharoptosis: evaluation, techniques, and complications. Facial Plast Surg 2007;23:203-15. 28. Özdal PÇ, Göka S, Teke MY, Fırat E. Ptozis tedavisinde levator cerrahisi. T Klin Oftalmoloji 2001;10:139-45. 29. Collin JRO. A Manual of Systematic Eyelid Surgery. 3rd ed. Philadelphia: Butterworth- Heinemann; 2006. 30. Dolar Bilge A. Klini¤imizde ptozis cerrahisi uygulanan hastalarda farklı ameliyat teknik ve materyallerinin de¤erlendirilmesi. [Uzmanlık Tezi] ‹stanbul: Göztepe E¤itim ve Aratırma Hastanesi; 2009.
Year 2019,
Volume: 5 Issue: 1, 1 - 7, 04.04.2019
Abstract
References
- 1. Yazıcı B, Dolar Bilge A. Aponevrotik ptozis. In: Argın MA, editör. Blefaroptozis. 1. Baskı. Ankara: Türkiye Klinikleri; 2018. s.19-24. 2. Cetinkaya A, Brannan PA. Ptosis repair options and algorithm. Curr Opin Ophthalmol. 2008;19:428-34. 3. Frueh BR. The mechanistic classification of ptosis. Ophthalmology 1980;87:1019-21. 4. Thakker MM, Rubin PA. Mechanisms of acquired blepharoptosis. Ophthalmol Clin North Am 2002;15:101-11. 5. Nerad JA. Oculoplastıc Surgery: The Requisities in Ophthalmology. St Louis: Mosby; 2001. 6. Clauser L, Tieghi R, Galiè M. Palpebral ptosis: clinical classification, differential diagnosis, and surgical guidelines: an overview. J Craniofac Surg 2006;17:246-54. 7. Lee MJ, Oh JY, Choung HK, Kim NJ, Sung MS, Khwarg SI. Frontalis sling operation using silicone rod compared with preserved fascia lata for congenital ptosis a three-year follow-up study. Ophthalmology 2009;116:123-9. 8. Tyers AG, Collin JRO. Colour Atlas of Ophthalmic Plastic Surgery. 3rd ed. China: Butterworth Heinemann; 2008. 9. Wright WW. The use of living sutures in the treatment of ptosis. Arch Ophthalmol 1922;51:99-102. 10. Crawford JS. Repair of ptosis using frontalis muscle and fascia lata: a 20-year review. Ophthalmic Surg 1977;8:31-40. 11. O’Reilly J, Lanigan B, Bowell R, O’Keefe M. Congenital ptosis: longterm results using stored fascia lata. Acta Ophthalmol Scand 1998;76:346-8. 12. Hersh D, Martin FJ, Rowe N. Comparison of silastic and banked fascia lata in pediatric frontalis suspension. J Pediatr Ophthalmol Strabismus 2006;43:212-8. 13. Wagner RS, Mauriello JA Jr, Nelson LB, Calhoun JH, Flanagan JC, Harley RD. Treatment of congenital ptosis with frontalis suspension: a comparison of suspensory materials. Ophthalmology 1984;91:245-8. 14. Wilson ME, Johnson RW. Congenital ptosis. Long-term results of treatment using lyophilized fascia lata for frontalis suspensions. Ophthalmology 1991;98:1234-7. 15. Wasserman BN, Sprunger DT, Helveston EM. Comparison of materials used in frontalis suspension. Arch Ophthalmol 2001;119:687-91. 16. Tillett CW, Tillett GM. Silicone sling in the correction of ptosis. Am J Ophthalmol 1966;62:521-3. 17. Carter SR, Meecham WJ, Seiff SR. Silicone frontalis slings for the correction of blepharoptosis: indications and efficacy. Ophthalmology 1996;103:623-30. 18. Ünal M, Bozan E, Konuk O, Hasanreisoglu B. Frontal askılama materyalinin seçimi on yıllık deneyimlerimiz, T Oft Gaz 2005;35:271-9. 19. Yazici B, Beden U. Use of 0.5% apraclonidine solution in evaluation of blepharoptosis. Ophthalmic Plast Reconstr Surg 2008;24:299-301. 20. Grace Lee N, Lin LW, Mehta S, Freitag SK. Response to phenylephrine testing in upper eyelids with ptosis. Digit J Ophthalmol 2015;21:1-12. 21. Patel RM, Aakalu VK, Setabutr P, Putterman AM. Efficacy of Muller’s muscle and conjunctiva resection with or without tarsectomy for the treatment of severe involutional blepharoptosis. Ophthalmic Plast Reconstr Surg 2017;33:273-8. 22. Jones LT, Quickert MH, Wobig JL. The cure of ptosis by aponeurotic repair. Arch Ophthalmol 1975;93:629-34. 23. Ünal M. Levator aponevroz cerrahisi. T Klin Oftalmoloji 1997;6:98-105. 24. Older JJ. Levator aponeurosis surgery for the correction of acquired ptosis. Analysis of 113 procedures. Ophthalmology 1983;90:1056-9. 25. Berlin AJ, Vestal KP. Levator aponeurosis surgery. A retrospective review. Ophthalmology 1989;96:1033-6. 26. Jordan DR, Anderson RL. The aponeurotic approach to congenital ptosis. Ophthalmic Surg 1990;21:237-44. 27. Ahmad SM, Della Rocca RC. Blepharoptosis: evaluation, techniques, and complications. Facial Plast Surg 2007;23:203-15. 28. Özdal PÇ, Göka S, Teke MY, Fırat E. Ptozis tedavisinde levator cerrahisi. T Klin Oftalmoloji 2001;10:139-45. 29. Collin JRO. A Manual of Systematic Eyelid Surgery. 3rd ed. Philadelphia: Butterworth- Heinemann; 2006. 30. Dolar Bilge A. Klini¤imizde ptozis cerrahisi uygulanan hastalarda farklı ameliyat teknik ve materyallerinin de¤erlendirilmesi. [Uzmanlık Tezi] ‹stanbul: Göztepe E¤itim ve Aratırma Hastanesi; 2009.
There are 1 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 4, 2019 |
| Published in Issue | Year 2019 Volume: 5 Issue: 1 |
