Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase

Detalhes bibliográficos
Autor(a) principal: Forno, Eliana
Data de Publicação: 2008
Outros Autores: Moura, Eurípedes Da Mota, Matayoshi, Suzana, Paes, Ângela Tavares, Paranhos Junior, Augusto [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0004-27492008000600013
http://repositorio.unifesp.br/handle/11600/4660
Resumo: PURPOSE: To evaluate the differences between upper eyelid levator muscle function (UELMF), margin reflex distance (MDR1), and eyelid crease height (ECH) before and after ptosis and dermatochalasis surgery. METHODS: Forty-four patients with blepharoptosis and dermatochalasis were enrolled. Intervention: An exploration of the levator tendon (LT) during a blepharoplasty procedure in patients with blepharoptosis and dermatochalasis and in case of its disinsertion, the tendon was reattached to the tarsus. Measured outcome: The differences between UELMF, MDR1, ECH before and after surgery were evaluated bilaterally. Dependency between both eyes was corrected by generalized estimating equations. Pearson correlation was used to evaluate the dependency of the two eyes regarding UELMF, MDR1 and ECH. RESULTS: There was a statistical significant difference between the measures of UELMF before and after surgery with excursion decreasing by a mean value of 1.1 mm after the procedure (P<0.001). Measures of MDR1 showed an increase by a mean of 1.6 mm and ECH decreased by a mean of 3.97 mm (P<0.001). We found a significant correlation between both eyes for all analyzed eyelid variables, both before and after surgery. Correlation before surgery was stronger for the group without previous surgery. The same results for correlation were found for the amount of disinsertion (P>0.001). CONCLUSIONS: Upper eyelid levator muscle function decreases after ptosis surgery.
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spelling Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálaseDecrease of upper eyelid levator muscle function after involutional ptosis and dermatochalasis surgeryBlefaroptosisEyelidBlefaroplastyOculomotor musclesBlefaroptosePálpebraBlefaroplastiaMúsculos oculomotoresPURPOSE: To evaluate the differences between upper eyelid levator muscle function (UELMF), margin reflex distance (MDR1), and eyelid crease height (ECH) before and after ptosis and dermatochalasis surgery. METHODS: Forty-four patients with blepharoptosis and dermatochalasis were enrolled. Intervention: An exploration of the levator tendon (LT) during a blepharoplasty procedure in patients with blepharoptosis and dermatochalasis and in case of its disinsertion, the tendon was reattached to the tarsus. Measured outcome: The differences between UELMF, MDR1, ECH before and after surgery were evaluated bilaterally. Dependency between both eyes was corrected by generalized estimating equations. Pearson correlation was used to evaluate the dependency of the two eyes regarding UELMF, MDR1 and ECH. RESULTS: There was a statistical significant difference between the measures of UELMF before and after surgery with excursion decreasing by a mean value of 1.1 mm after the procedure (P<0.001). Measures of MDR1 showed an increase by a mean of 1.6 mm and ECH decreased by a mean of 3.97 mm (P<0.001). We found a significant correlation between both eyes for all analyzed eyelid variables, both before and after surgery. Correlation before surgery was stronger for the group without previous surgery. The same results for correlation were found for the amount of disinsertion (P>0.001). CONCLUSIONS: Upper eyelid levator muscle function decreases after ptosis surgery.OBJETIVO: Avaliar a diferença da função do músculo levantador da pálpebra superior (FMLPS), distância margem reflexo (DMR1) e altura do sulco palpebral (AS) antes e depois da cirurgia de blefaroplastia superior associada à correção de ptose palpebral. MÉTODOS: Quarenta e quatro pacientes com blefaroptose e dermatocálase foram incluídos. Intervenção: exploração do tendão do músculo levantador da pálpebra superior (MLPS) durante a blefaroplastia, em portadores de blefaroptose e dermatocálase. Nos casos de desinserção, o tendão foi refixado ao tarso. Desfechos analisados: foram analisados de forma bilateral a diferença entre FMLPS, DMR1 e AS antes e depois da intervenção. A dependência entre os olhos foi corrigida por meio de equações de estimativa generalizada. Foi utilizada a correlação de Pearson para quantificar a dependência entre os olhos para FMLPS, DMR1 e AS. RESULTADOS: Houve diferença significante entre as medidas de FMLPS antes e depois da cirurgia, havendo redução da excursão do MLPS após a cirurgia, diminuindo, em média, 1,1 mm (P<0,001). As medidas pré e pós-operatória de DMR1 e AS foram estatisticamente diferentes, sendo que a DMR1 aumentou, em média, 1,6 mm e a AS diminuiu, em média, 3,97 mm (P<0,001) após a cirurgia. Houve correlação significante entre os olhos para todas as variáveis propedêuticas antes e depois da cirurgia. As correlações pré-operatórias foram mais fortes no grupo sem cirurgia prévia. O mesmo foi encontrado para a correlação quanto ao grau de desinserção nos dois olhos (P>0,01). CONCLUSÃO: A função do músculo levantador da pálpebra superior diminui após a cirurgia para a correção da ptose.Universidade de São Paulo Faculdade de MedicinaUniversidade de São Paulo Faculdade de Medicina Departamento de OftalmologiaUniversidade Federal de São Paulo (UNIFESP)UNIFESP, EPMSciELOConselho Brasileiro de OftalmologiaUniversidade de São Paulo (USP)Universidade Federal de São Paulo (UNIFESP)Forno, ElianaMoura, Eurípedes Da MotaMatayoshi, SuzanaPaes, Ângela TavaresParanhos Junior, Augusto [UNIFESP]2015-06-14T13:38:50Z2015-06-14T13:38:50Z2008-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion831-836application/pdfhttp://dx.doi.org/10.1590/S0004-27492008000600013Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 71, n. 6, p. 831-836, 2008.10.1590/S0004-27492008000600013S0004-27492008000600013.pdf0004-2749S0004-27492008000600013http://repositorio.unifesp.br/handle/11600/4660porArquivos Brasileiros de Oftalmologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T16:02:38Zoai:repositorio.unifesp.br/:11600/4660Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T16:02:38Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
Decrease of upper eyelid levator muscle function after involutional ptosis and dermatochalasis surgery
title Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
spellingShingle Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
Forno, Eliana
Blefaroptosis
Eyelid
Blefaroplasty
Oculomotor muscles
Blefaroptose
Pálpebra
Blefaroplastia
Músculos oculomotores
title_short Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
title_full Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
title_fullStr Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
title_full_unstemmed Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
title_sort Diminuição da função do músculo levantador da pálpebra superior em pacientes submetidos à cirurgia de ptose palpebral involucional e dermatocálase
author Forno, Eliana
author_facet Forno, Eliana
Moura, Eurípedes Da Mota
Matayoshi, Suzana
Paes, Ângela Tavares
Paranhos Junior, Augusto [UNIFESP]
author_role author
author2 Moura, Eurípedes Da Mota
Matayoshi, Suzana
Paes, Ângela Tavares
Paranhos Junior, Augusto [UNIFESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Forno, Eliana
Moura, Eurípedes Da Mota
Matayoshi, Suzana
Paes, Ângela Tavares
Paranhos Junior, Augusto [UNIFESP]
dc.subject.por.fl_str_mv Blefaroptosis
Eyelid
Blefaroplasty
Oculomotor muscles
Blefaroptose
Pálpebra
Blefaroplastia
Músculos oculomotores
topic Blefaroptosis
Eyelid
Blefaroplasty
Oculomotor muscles
Blefaroptose
Pálpebra
Blefaroplastia
Músculos oculomotores
description PURPOSE: To evaluate the differences between upper eyelid levator muscle function (UELMF), margin reflex distance (MDR1), and eyelid crease height (ECH) before and after ptosis and dermatochalasis surgery. METHODS: Forty-four patients with blepharoptosis and dermatochalasis were enrolled. Intervention: An exploration of the levator tendon (LT) during a blepharoplasty procedure in patients with blepharoptosis and dermatochalasis and in case of its disinsertion, the tendon was reattached to the tarsus. Measured outcome: The differences between UELMF, MDR1, ECH before and after surgery were evaluated bilaterally. Dependency between both eyes was corrected by generalized estimating equations. Pearson correlation was used to evaluate the dependency of the two eyes regarding UELMF, MDR1 and ECH. RESULTS: There was a statistical significant difference between the measures of UELMF before and after surgery with excursion decreasing by a mean value of 1.1 mm after the procedure (P<0.001). Measures of MDR1 showed an increase by a mean of 1.6 mm and ECH decreased by a mean of 3.97 mm (P<0.001). We found a significant correlation between both eyes for all analyzed eyelid variables, both before and after surgery. Correlation before surgery was stronger for the group without previous surgery. The same results for correlation were found for the amount of disinsertion (P>0.001). CONCLUSIONS: Upper eyelid levator muscle function decreases after ptosis surgery.
publishDate 2008
dc.date.none.fl_str_mv 2008-12-01
2015-06-14T13:38:50Z
2015-06-14T13:38:50Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0004-27492008000600013
Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 71, n. 6, p. 831-836, 2008.
10.1590/S0004-27492008000600013
S0004-27492008000600013.pdf
0004-2749
S0004-27492008000600013
http://repositorio.unifesp.br/handle/11600/4660
url http://dx.doi.org/10.1590/S0004-27492008000600013
http://repositorio.unifesp.br/handle/11600/4660
identifier_str_mv Arquivos Brasileiros de Oftalmologia. Conselho Brasileiro de Oftalmologia, v. 71, n. 6, p. 831-836, 2008.
10.1590/S0004-27492008000600013
S0004-27492008000600013.pdf
0004-2749
S0004-27492008000600013
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Arquivos Brasileiros de Oftalmologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 831-836
application/pdf
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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