Surgical Management of Severe Congenital Ptosis: A Systematic Review
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Le résumé fourni par la source
OBJECTIVE: Severe congenital ptosis, primarily caused by levator palpebrae superioris (LPS) underdevelopment, may impair visual development and facial aesthetics. Although multiple surgical techniques exist, optimal procedure selection and long-term outcomes remain debated. METHODS: A systematic review was conducted following PRISMA guidelines. The authors searched PubMed, ScienceDirect, and Google Scholar for English-language studies (2014-2024) on severe congenital ptosis (MRD1 <1 mm, LPS function ≤4 mm). Inclusion criteria encompassed primary surgical intervention, detailed technique description, and ≥6 months of follow-up. Studies of acquired ptosis or syndromic cases were excluded. Two reviewers independently performed screening, data extraction, and quality assessment. RESULTS: Fourteen studies were included. Three core surgical approaches were identified: (1) frontalis suspension, (2) levator resection, and (3) conjoint fascial sheath-levator complex fixation (CFS+LM). Outcomes varied by patient age, LPS function, and anatomical maturity. CONCLUSIONS: Surgical management of severe congenital ptosis should be individualized. Based on the evidence, a decision-making algorithm was developed incorporating patient age and LPS function. Frontalis suspension remains the preferred option for markedly impaired LPS function, whereas levator resection and CFS-based techniques are viable alternatives when anatomical conditions allow. Prospective studies with standardized outcome measures are needed to confirm long-term effectiveness. LEVEL OF EVIDENCE: Level III.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Surgical Management of Severe Congenital Ptosis: A Systematic Review
- Date Crossref
- 24/12/2025
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Academy of Medical Sciences pays non établi dans la noticeOrganisation à but non lucratif
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Chinese Academy of Medical Sciences & Peking Union Medical College pays non établi dans la noticeUniversité ou école supérieure
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Academia Sinica pays non établi dans la noticeStructure de recherche
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Aesthetic Surgery Center pays non établi dans la noticeÉtablissement de santé
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Plastic Surgery Hospital Department of Cleft Lip and Palate pays non établi dans la noticeÉtablissement de santé
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Beijing Ba Da Chu Plastic Surgery and Aesthetic Medical Clinic Department of Oculoplastic Surgery pays non établi dans la noticeÉtablissement de santé
Academy of Medical Sciences, Chinese Academy of Medical Sciences & Peking Union Medical College et Academia Sinica, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.