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Related Experiment Videos

Technique for blepharoptosis correction using double-breasted orbicularis oculi muscle flaps.

Huseyin Borman1, Tugrul Maral

  • 1Baskent University Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Ankara, Turkey. hborman@gmail.com

Annals of Plastic Surgery
|September 26, 2006
PubMed
Summary

A modified orbicularis oculi muscle flap technique for blepharoptosis surgery eliminates postoperative lagophthalmos. This approach offers immediate eyelid closure and dynamic eyelid elevation, improving outcomes for severe ptosis cases.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • The orbicularis oculi muscle flap technique is a popular surgical option for blepharoptosis, particularly in severe cases with poor levator function.
  • This method advances a superiorly based orbicularis oculi muscle flap to the tarsal plate for dynamic upper eyelid elevation.
  • A significant drawback of the original technique is temporary lagophthalmos, which can persist for 2-6 months and pose risks of eye emergencies.

Purpose of the Study:

  • To present a modified orbicularis oculi muscle flap technique that addresses and eliminates the issue of postoperative lagophthalmos.
  • To preserve more of the pretarsal orbicularis oculi muscle to ensure immediate, tight eyelid closure.
  • To achieve dynamic and powerful eyelid-opening action while minimizing complications.

Main Methods:

Related Experiment Videos

  • A modified technique involves creating two orbicularis oculi muscle flaps: one superiorly based and one inferiorly based.
  • The inferiorly based flap utilizes the pretarsal orbicularis oculi muscle typically discarded in other methods.
  • This approach aims to maximize the preservation of the pretarsal orbicularis oculi muscle.

    • Main Results:

    • The modified technique was successfully used in 7 patients, involving 11 eyelids over 5 years.
    • All 11 operated eyelids demonstrated immediate and tight eyelid closure postoperatively.
    • Patients experienced dynamic and powerful eyelid-opening action following the surgery.

    Conclusions:

    • This modified operation is a viable alternative for severe blepharoptosis, especially in patients with insufficient levator function or recurrent cases.
    • It utilizes local tissues, achieves dynamic correction with a single incision, and reduces the need for intensive postoperative eye care.
    • The technique minimizes the risk of corneal damage and provides predictable eyelid-opening action.