Severe unilateral congenital ptosis with poor levator function: tarsoconjunctival mullerectomy plus levator resection vs frontalis sling procedure

INTRODUCTION

Overcorrection is defined as MRD1≥3 mm and bilateral asymmetry ≥2 mm.

Modified maximal levator palpebrae superioris shortening was another effective and endurable route of treatment for sever congenital ptosis with poor LF especially in patients whose LF was less than 2 mm

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塵世中的好男人，應該就是這個模樣了吧。生而為人，誰還沒幾個缺點呢？畢竟你我，也只是許姣容那般的普通女子，求的是平安順遂，要的是白頭偕老，盼的是子孫滿堂。完美太難得，幸福就很好。

The aim of the present study is to compare the functional and cosmetic outcomes, complications, and success rate of frontalis sling and TCMLR in subjects with severe unilateral congenital ptosis with poor LF.

為了取得一些準確數據，他們專門到北京、天津的有關單位查閱了大量的資料，成功地研制了用做防腐施工配套的吊管機。在防腐時，吊管機吊著管道在前面走，膠帶纏繞機隨后進行膠帶纏繞，大大方便了施工操作，提高了工作效率。

SUBJECTS AND METHODS

First by anterior approach, the levator muscle was resected according to MRD1 and LF, afterward; the tarsus, conjunctiva and muller muscle were resected according to correction requirements of each patient adaptively (no Putterman clamp usage), adjustment suture of levator to the tarsus was performed with Vicryl 6-0, and then repair of tarsus to the conjunctiva was done with Vicryl 7-0.

哮喘急性發作時呼氣流速指標急速下降，且哮喘患者多存在肺功能異常[15]。本研究結果顯示，肺炎支原體肺炎患兒的通氣功能障礙主要以限制性為主，通過治療后其大通道通氣指標(FVC、FEV1、PEF)均可恢復，且趨于正常，但對照組小通道通氣指標(FEF25、FEF50、FEF75)改善不明顯，觀察組聯合應該順爾寧治療后可有效改善肺功能，特別是對小氣道通氣指標的改善較為明顯。同時，觀察組臨床療效，咳嗽消失時間、喘息緩解時間、IgE減輕時間等臨床癥狀改善均優于對照組，且兩組均無明顯不良反應。

The sample size was calculated by G power software (version 3.1), power=80%, α=5%. Totally, 50 participants with complete and full record of demographic, surgical, and postoperative parameters were recruited and comprised of two groups; the frontalis sling and TCMLR procedures (26

24 participants respectively).

All frontalis sling procedures were performed by single plastic surgeon (Jamshidian-Tehrani M) and all TCMLR procedures were accomplished by one another plastic surgeon (Kasaee A), each group was assigned according to the patient’s age,in which TCMLR was done for age range of 2-42y, and the frontalis sling procedure was performed for the age range 1-17y,and the criteria for selection of each group was the surgeon’s expertise, preference and his/her trends.

According to ethical considerations, the TCMLR procedure should be done in elderly participants because of tarsal growth in younger age and chance of cicatricial entropion in excessive removal of tarsus.

建立科學的教師專業標準是教師從一種“職業”成為一種“專業”的基本標志，是客觀評價教育質量的依據[10]。然而，體育教育在整個教育領域中處于邊緣地位，與其他學科的教師相比，體育教師似乎也低人一等。體育教師的專業發展的生涯始于進入大學的體育教育專業，但是，無論是職前的培養、畢業，還是新體育教師的準入、職后的培訓，都處于“無章可循”的狀態[11] 。……