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題名 | The Relationship between Levator Function and Blepharoptosis Severity=提眼瞼肌功能與眼瞼下垂嚴重度的關係 |
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作者 | 林岑紘; 賴春生; 李書欣; 張高評; 黃書鴻; 吳益嘉; 張智豪; 林幸道; Lin, Cen-hung; Lai, Chung-sheng; Lee, Su-shin; Chang, Kao-ping; Huang, Shu-hung; Wu, Yi-chia; Chang, Chih-hau; Lin, Sin-daw; |
期刊 | 臺灣整形外科醫學會雜誌 |
出版日期 | 20160900 |
卷期 | 25:3 2016.09[民105.09] |
頁次 | 頁187-195 |
分類號 | 416.752 |
語文 | eng |
關鍵詞 | 提眼瞼肌; 眼瞼下垂; Blepharoptosis; Ptosis; Levator function; Severity; |
中文摘要 | 背景:提眼瞼肌功能分為良好,尚可,以及不良;其被認為分別與輕度,中度, 重度眼瞼下垂眼瞼下垂有關。然而,台灣目前尚無探討此二者關係的研究。目的及目標:本篇文章的目的在探究提眼瞼肌功能與眼瞼下垂嚴重度是否有直接對應的關係。材料及方法:我們蒐集了2004年4月至2014年4月間在本院進行過眼瞼下垂評估且具備詳盡病歷資料的病患。總共323位病患與共519個眼瞼納入這個研究。我們將提眼瞼肌功能分為優良,良好,尚可,及不良,所有的眼瞼被分作先天性及後天性兩個組別;而我們在這兩個組別內,分別去研究提眼瞼肌功能與眼瞼下垂嚴重度的關係。結果:全部的下垂眼瞼中,男性有189個(36.4%),女性有330個(63.6%);先天性有413個(79.6%),後天性有106個(20.4%)。輕度與中度下垂的眼瞼大多具有優良或良好的眼瞼肌功能;但優良或良好的眼瞼肌功能的下垂眼瞼並不代表就是輕度眼瞼下垂。不良眼瞼肌功能的下垂眼瞼大多造成重度眼瞼下垂;然而,重度眼瞼下垂並不代表其提眼瞼肌功能為不良的。結論:後天性眼瞼下垂可能是由許多非提眼瞼肌本身問題的因素所造成,故其提眼瞼肌功能整體來說較先天性的佳。輕度與中度下垂的眼瞼大多具有優良或良好的眼瞼肌功能;但優良或良好的眼瞼肌功能的下垂眼瞼並不代表就是輕度眼瞼下垂。不良眼瞼肌功能的下垂大多造成重度眼瞼下垂;然而,重度眼瞼下垂並不代表其提眼瞼肌功能為不良的,這可能是跟提眼瞼肌末端分成兩層 -- 提眼瞼肌筋膜及Muller's肌肉有關。例如筋膜性及機械性眼瞼下垂,若其筋膜層異常但具有正常的Muller's肌肉及提眼瞼肌肉構造,臨床顯現出來的將是良好的提眼瞼肌功能。 |
英文摘要 | Background: Levator function is usually graded as good (>8 mm), fair (5-7 mm) and poor (1-4 mm), which are generally associated with mild, moderate, and severe blepharoptosis, respectively. To date, no large study has evaluated the relationship between levator function and blepharoptosis severity in oriental eyelids. Aim and Objectives: The aim is to analyze the relationship between levator function and severity of blepharoptosis by means of a large retrospective study. Materials and Methods: We reviewed patients who were examined for blepharoptosis in our hospital between April 2004 and April 2014 by using detailed medical records of age, sex, time of onset, severity, and levator function. 323 patients with total eyelid number of 519 were studied. We divided levator function into four grades: excellent (>12mm), good (8-12mm), fair (5-7 mm), and poor (<5 mm). All the eyelids were divided into congenital and acquired groups. Within these two groups, we calculated the percentages of excellent, good, fair, and poor levator function in the mild, moderate, and severe blepharoptosis subgroups. In addition, we evaluated the percentage of mild, moderate, and severe blepharoptosis in the excellent, good, fair, and poor levator function subgroups. Results: The number of eyelids in the male and female groups was 189 (36.4%) and 330 (63.6%), respectively. Congenital and acquired blepharoptosis were observed in 413 (79.6%) and 106 (20.4%) eyelids, respectively. Most eyelids with mild or moderate blepharoptosis exhibited good or excellent levator function. However, good or excellent levator function was not completely associated with mild blepharoptosis. In addition, most eyelids with poor levator function had severe blepharoptosis. However, severe blepharoptosis was not completely associated with poor levator function. Conclusion: Acquired blepharoptosis can be caused by various factors other than levator muscle dysfunction. Congenital blepharoptosis generally causes worse levator function than acquired blepharoptosis. Most eyelids with mild or moderate blepharoptosis had good or excellent levator function. However, good or excellent levator function was not completely associated with mild blepharoptosis. Poor levator function eyelids generally lead to severe blepharoptosis, but severe blepharoptosis was not completely associated with poor levator function. This association may be related to the two-layer extensions of the levator palpabrae muscle, which makes the relative preservation of levator function possible in aponeurotic and mechanical blepharoptosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。