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Levator Recession: With Reattachment to the Tarsus With Collagen Film

Levator Recession: With Reattachment to the Tarsus With Collagen Film Abstract For levator palpebrae muscles hyperactive and spastically contracting from thyroid disorder or for a levator shortened too much in surgical correction of ptosis, they or it are recessed the estimated distance and the end of the levator tendon is connected to the tarsus either by an intermediary sector of pretarsal orbicularis or with a strip of collagen film (Ethicon). Before describing this technique, it may be of interest to briefly review the procedures previously devised for levator recession. The classic procedure for recession is Goldstein's method (1934) which may be performed via either the skin or conjunctiva. After separating the levator from the conjunctiva behind and the orbicularis in front, and allowing it to recede into the upper fornix and orbit for 10 mm, the lower end of the levator tendon is attached to the skin and orbicularis muscle beneath the eyebrow with three mattress sutures tied over rubber strips. References 1. Goldstein, L.: Recession of Levator Muscle for Lagophthalmos in Exophthalmic Goiter , Arch Ophthal 11:389-393 ( (March) ) 1934.Crossref 2. Berke, R. N.: " Blepharoptosis ," in Ophthalmic Plastic Surgery , Wendell L. Hughes, ed., Manual for American Academy of Ophthalmology, 1964, p 151. 3. Fox, S. A.: Ophthalmic Plastic Surgery , ed 3, New York: Grune & Stratton, Inc., 1963, p 316. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Levator Recession: With Reattachment to the Tarsus With Collagen Film

Archives of Ophthalmology , Volume 73 (6) – Jun 1, 1965

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1965.00970030802009
Publisher site
See Article on Publisher Site

Abstract

Abstract For levator palpebrae muscles hyperactive and spastically contracting from thyroid disorder or for a levator shortened too much in surgical correction of ptosis, they or it are recessed the estimated distance and the end of the levator tendon is connected to the tarsus either by an intermediary sector of pretarsal orbicularis or with a strip of collagen film (Ethicon). Before describing this technique, it may be of interest to briefly review the procedures previously devised for levator recession. The classic procedure for recession is Goldstein's method (1934) which may be performed via either the skin or conjunctiva. After separating the levator from the conjunctiva behind and the orbicularis in front, and allowing it to recede into the upper fornix and orbit for 10 mm, the lower end of the levator tendon is attached to the skin and orbicularis muscle beneath the eyebrow with three mattress sutures tied over rubber strips. References 1. Goldstein, L.: Recession of Levator Muscle for Lagophthalmos in Exophthalmic Goiter , Arch Ophthal 11:389-393 ( (March) ) 1934.Crossref 2. Berke, R. N.: " Blepharoptosis ," in Ophthalmic Plastic Surgery , Wendell L. Hughes, ed., Manual for American Academy of Ophthalmology, 1964, p 151. 3. Fox, S. A.: Ophthalmic Plastic Surgery , ed 3, New York: Grune & Stratton, Inc., 1963, p 316.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1965

References

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