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단안상전장애에 동반된 눈꺼풀처짐에서 눈꺼풀올림근을 이용한 이마근걸이술 1예

Other Titles
 Use of the Levator Muscle as a Frontalis Sling in Monocular Elevation Deficiency 
Authors
 이상엽  ;  김혜영 
Citation
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.51(2) : 282-285, 2010 
Journal Title
JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY(대한안과학회지)
ISSN
 0378-6471 
Issue Date
2010
Keywords
Frontalis suspension ; Levator muscle ; Monocular elevation deficiency ; Ptosis
Abstract
Purpose: For the correction of ptosis in monocular elevation deficiency (MED) patients, levator resection or frontalis sling operation with various materials has been used. The authors present a case of a monocular elevation deficiency patient who was treated for ptosis using the levator muscle as a frontalis sling. Case summary: A six-year-old male patient with left monocular elevation deficiency underwent a frontalis sling operation using a levator muscle. The patient had received left inferior rectus recession, left medial rectus resection and left lateral rectus recession with transposition. An upper eyelid skin crease incision was made, and the anterior surface of the levator muscle was exposed as far as the Whitnall ligament. A levator muscle flap was then formed from aponeurosis by incising the full width of the levator horizontally, just below the Whitnall ligament and anchored to the frontalis muscle. The surgical result was satisfactory as the preoperative MRD1 was 0.5 mm and the postoperative MRD1 was 2.5 mm. There were no complications such as keratitis or wound problems. Conclusions: The levator muscle flap can be an effective frontalis suspension material to correct ptosis in an MED patient with poor levator function.
Files in This Item:
T999901355.pdf Download
DOI
10.3341/jkos.2010.51.2.282
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sang Yeop(이상엽) ORCID logo https://orcid.org/0000-0002-3834-7953
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165962
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