Konjenital prozisde aponevroz katlaması ve aponevroz rezeksiyonu
Küçük Resim Yok
Tarih
2002
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Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Öz:Amaç: Konjenital ptozisli 28 olgunun 29 göz kapağı çalışma kapsamına alınarak, cerrahi metod açısından apenevroz katlaması ve rezeksiyonu sonuçları karşılaştırıldı. Yöntem: Olgulardan 13'üne aponevroz katlaması,16'sına aponevroz rezeksiyonu uygulandı. Her iki yöntemde sadece levator aponevrozuna müdahalede bulunulurken levator kasının kendisine, tarslara, Müller kasına, konjonktiva ve levator boynuzlarına dokunulmadı. Bulgu: Aponevroz rezeksiyonu uygulanan 15 hastanın 16 göz kapağının 15'inde (%93.75) tam düzelme,1'inde (%6.25) 1 mm'den küçük hipokerreksiyon elde edildi. Katlama yöntemi uygulanan 13 hastanın 9'unda (%69.23) tam düzelme, 3'ünde (%23.07) 1mm nin altında hipokorreksiyon, 1'inde (%7.69) 1 mm nin altında hiperkorreksiyon elde edildi. Sonuç: Sonuç olarak ptozis cerrahisinde her iki yöntemin güvenilir, başarılı, anatomiye saygılı ve rahatlıkla uygulanabilir birer yöntem olduğu sonucuna varıldı.
Abstract:Objective: A total of 29 eyelids of 28 patients with congenital ptosis were enrolled in the study and the results of tucking and resection of aponeurosis from two surgical technique were compared. Method: We performed tucking of aponeurosis to 13 eyelids and resection of aponeurosis on 16 eyelids. In both surgical techniques, surgical intervention was only applied to aponeurosis of levator muscle and no intervention was applied to levator muscle, tarsus, Müller muscle, conjunctiva and levator horns. Results: Only one lid (6.25%) undergoing resection of aponeurosis showed hypocorrection less than 1mm, in the remaining 15 lids (93.75%) complete correction was identified. Of 13 eye lids of 13 patients undergoing tucking of aponeurosis, three showed hypocorrection (23.07%) and one showed hypercorreection (7.69 %) that was less than 1 mm. In the rest of 9 lids (69.23%) complete correction was identified. Conclusion: Both surgical techniques were performed easily and were found to be reliable, successful and anatomically acceptible .
Abstract:Objective: A total of 29 eyelids of 28 patients with congenital ptosis were enrolled in the study and the results of tucking and resection of aponeurosis from two surgical technique were compared. Method: We performed tucking of aponeurosis to 13 eyelids and resection of aponeurosis on 16 eyelids. In both surgical techniques, surgical intervention was only applied to aponeurosis of levator muscle and no intervention was applied to levator muscle, tarsus, Müller muscle, conjunctiva and levator horns. Results: Only one lid (6.25%) undergoing resection of aponeurosis showed hypocorrection less than 1mm, in the remaining 15 lids (93.75%) complete correction was identified. Of 13 eye lids of 13 patients undergoing tucking of aponeurosis, three showed hypocorrection (23.07%) and one showed hypercorreection (7.69 %) that was less than 1 mm. In the rest of 9 lids (69.23%) complete correction was identified. Conclusion: Both surgical techniques were performed easily and were found to be reliable, successful and anatomically acceptible .
Açıklama
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İnönü Üniversitesi Tıp Fakültesi Dergisi
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Künye
DEMİR T,TURGUT B,KÜKNER Ş,ÇELİKER Ü (2002). Konjenital prozisde aponevroz katlaması ve aponevroz rezeksiyonu. İnönü Üniversitesi Tıp Fakültesi Dergisi, 9(1), 53 - 57.
