METHODS: A retrospective cohort study.
METHODS: All pediatric patients who underwent silicone sling FS surgery between 2009 and 2020 at a single centre.
METHODS: Patients were divided based on etiology into simple congenital ptosis and complex congenital ptosis. Pre- and postoperative margin-to-reflex distance (MRD1) measurements were determined from clinical photographs. Main outcome measures were assessed as differences in improvement in eyelid height and reoperation rate between the groups.
RESULTS: Two-hundred and eight children were included: 139 simple and 69 complex cases, with 83 females (40%). Mean (±SD) age at intervention was 1.9 ± 2.9 years. Complex cases included blepharophimosis epicanthus inversus syndrome (n = 35), Marcus Gunn jaw-winking syndrome (n = 12), oculomotor palsy (n = 8), congenital fibrosis of extraocular muscles (n = 3), chronic progressive external ophthalmoplegia (n = 3), and others. Mean MRD1 improved by an average of 1.6 mm in both groups. Repeat ptosis correction was performed in 50 of 171 patients (29%) without a history of failed ptosis procedures, and this rate was similar between simple and complex cases. Children under 3 years of age had higher rates of repeat ptosis repair than older children (n = 59 of 175 [34%] vs n = 5 of 33 [15%]; p = 0.03, χ2 test).
CONCLUSIONS: Silicone sling FS has a favourable outcome in 70% of pediatric patients. Preoperative and final MRD1 and reoperation rates were similar between both groups, suggesting that despite the higher complexity in atypical cases, the outcome is similar.
方法:回顾性队列研究。
方法:所有在2009年至2020年期间在一个中心接受硅胶吊带FS手术的儿科患者。
方法:患者根据病因分为单纯性先天性上下垂和复杂性先天性上下垂。根据临床照片确定术前和术后边缘到反射距离(MR1)的测量值。主要结局指标被评估为两组之间眼睑高度改善和再手术率的差异。
结果:包括200名儿童:139例简单病例和69例复杂病例,女性83人(40%)。干预时的平均(±SD)年龄为1.9±2.9岁。复杂的病例包括内chan内翻综合征(n=35),MarcusGunn下颌眨眼综合征(n=12),动眼神经麻痹(n=8),先天性眼外肌纤维化(n=3),慢性进行性眼外肌麻痹(n=3),和其他人。两组的平均MRD1平均改善1.6mm。171例患者中有50例(29%)进行了重复下垂矫正,没有失败的下垂手术史。简单病例和复杂病例的比率相似。3岁以下儿童的重复下垂修复率高于年龄较大的儿童(175中的n=59[34%],33中的n=5[15%];p=0.03,χ2检验)。
结论:硅胶吊带FS在70%的儿科患者中具有良好的预后。两组术前和最终的MRD1和再手术率相似。这表明,尽管非典型病例的复杂性更高,结果是相似的。