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Management of Acquired Ptosis

  • John D. Siddens
  • Sonya D. Mitchell
  • Geoffrey J. Gladstone
Chapter

Abstract

Ptosis surgery may be performed alone or in conjunction with other oculoplastic procedures. Ptosis surgery may be performed under general anesthesia, but paralysis of the eyelid muscles makes postoperative prediction of the final eyelid position extremely difficult and postoperative success less predictable [1]. Local anesthesia is the standard delivery method because it is associated with decreased bleeding, decreased patient cost, decreased stress on the airway and cardiovascular system, and a shortened recovery time [2, 3]. The use of short-acting intravenous anesthesia and local anesthetic has allowed ptosis surgery to become much more accurate because the process is performed on dynamic tissue and anatomic structures are much more easily identified [3]. In this situation, the action of the levator muscle is not impaired, and the effect of the aponeurotic repair may be assessed during surgery.

Keywords

Fascia Lata Eyelid Margin Orbicularis Muscle Orbital Septum Levator Function 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • John D. Siddens
    • 1
  • Sonya D. Mitchell
    • 2
  • Geoffrey J. Gladstone
    • 3
    • 4
    • 5
  1. 1.UMG Plastic Surgery, Greenville Hospital SystemGreenvilleUSA
  2. 2.Bassin Center for Facial Plastic SurgeryMelbourneUSA
  3. 3.Oakland University William Beaumont School of MedicineRoyal OakUSA
  4. 4.Department of Ophthalmology Kresge Eye InstituteWayne State University School of MedicineDetroitUSA
  5. 5.Consultants in Ophthalmic & Facial Plastic Surgery, P.C.SouthfieldUSA

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