Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society · 2025
Levator-based versus frontalis-based surgeries for poor-function congenital ptosis: Systematic review and meta-analysis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Abdelsattar Nada K, Taha Taha Abd-ElSalam Ashraf, Fadl Ziad A, Ibrahim Omar A, Ali Menna T S, Farouk Hossam K, Diab Mostafa M
Аннотация
The choice of surgery for congenital ptosis remains an ongoing debate. This study evaluated the efficacy and safety of levator-based versus frontalis-based surgeries, specifically focusing on ptosis with poor levator function. A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and the Cochrane Library. Studies comparing levator-based and frontalis-based surgical techniques in congenital ptosis patients were included. Sixteen studies were included. Meta-analysis revealed no significant differences regarding postoperative marginal reflex distance 1 (MRD1) or change in MRD1 in poor levator function cases and overall pooled studies. Levator-based surgeries had lower risk of recurrence and implant- or suture-related complications. Postoperative lagophthalmos was comparable between the two groups. In conclusion, both levator-based and frontalis-based surgeries achieve satisfactory outcomes for congenital ptosis, including cases with poor levator function. Large, randomized trials with long-term follow-up are needed.