{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T08:34:23Z","timestamp":1712824463323},"reference-count":21,"publisher":"Akademiai Kiado Zrt.","issue":"18","license":[{"start":{"date-parts":[[2021,5,2]],"date-time":"2021-05-02T00:00:00Z","timestamp":1619913600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,5,2]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Szemh\u00e9jcs\u00fcng\u00e9snek (ptosis vagy blepharoptosis)\n                    nevezz\u00fck azt az \u00e1llapotot, amikor a fels\u0151 szemh\u00e9j abnorm\u00e1lisan alacsony\n                    poz\u00edci\u00f3ban van. A szemh\u00e9jcs\u00fcng\u00e9snek lehetnek velesz\u00fcletett \u00e9s szerzett form\u00e1i.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> C\u00e9lunk volt bemutatni a szemh\u00e9jemel\u0151 izom\n                    (levator) \u2013 velesz\u00fcletett szemh\u00e9jcs\u00fcng\u00e9s korrekci\u00f3ja c\u00e9lj\u00e1b\u00f3l v\u00e9gzett \u2013\n                    k\u00f6t\u0151h\u00e1rtya fel\u0151li red\u0151z\u00e9s\u00e9nek eredm\u00e9nyeit retrospekt\u00edv m\u00f3dszerrel.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> 20 beteg 22 szemh\u00e9j\u00e1n v\u00e9gezt\u00fck el a m\u0171t\u00e9tet\n                    (\u00e1tlag\u00e9letkor: 19,4 \u00b1 9,9 \u00e9v, f\u00e9rfi: 12 [60%], n\u0151: 8 [40%]). Bev\u00e1laszt\u00e1si\n                    krit\u00e9rium volt a k\u00f6zepes (5\u20138 mm) vagy j\u00f3 (9 mm felett) levatorfunkci\u00f3. Kiz\u00e1rtuk\n                    a kor\u00e1bban szemh\u00e9jkorrekci\u00f3s m\u0171t\u00e9ten \u00e1tesett \u00e9s a 3 h\u00f3napn\u00e1l r\u00f6videbb k\u00f6vet\u00e9si\n                    id\u0151vel rendelkez\u0151 betegeket. A m\u0171t\u00e9t el\u0151tt megm\u00e9rt\u00fck a levatorfunkci\u00f3t \u00e9s a\n                    marg\u00f3\u2013reflex-t\u00e1vols\u00e1got. A m\u0171t\u00e9t ut\u00e1n megm\u00e9rt\u00fck a marg\u00f3\u2013reflex-t\u00e1vols\u00e1got, a\n                    szemh\u00e9jak magass\u00e1ga k\u00f6zti aszimmetria m\u00e9rt\u00e9k\u00e9t, \u00e9s elemezt\u00fck a szemh\u00e9j\n                    posztoperat\u00edv kont\u00farj\u00e1t. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A preoperat\u00edv\n                    levatorfunkci\u00f3 10,6 \u00b1 3,0 mm, a preoperat\u00edv marg\u00f3\u2013reflex-t\u00e1vols\u00e1g 1,8 \u00b1 0,8 mm\n                    volt. A 7,8 \u00b1 7,2 h\u00f3nap \u00e1tlagos k\u00f6vet\u00e9si id\u0151 alatt a posztoperat\u00edv\n                    marg\u00f3\u2013reflex-t\u00e1vols\u00e1g 3,2 \u00b1 0,8 mm volt. A preoperat\u00edv \u00e9s a posztoperat\u00edv\n                    marg\u00f3\u2013reflex-t\u00e1vols\u00e1g k\u00fcl\u00f6nbs\u00e9ge nem t\u00e9rt el szignifik\u00e1nsan a sikeres \u00e9s a\n                    sikertelen m\u0171t\u00e9tek k\u00f6z\u00f6tt (p = 0,523). A szemh\u00e9jak magass\u00e1ga k\u00f6zti aszimmetria\n                    m\u00e9rt\u00e9ke 3 betegn\u00e9l haladta meg az 1 mm-t. A szemh\u00e9j posztoperat\u00edv kont\u00farja\n                    minden esetben megfelel\u0151 volt. A m\u0171t\u00e9t \u00f6sszess\u00e9g\u00e9ben 86,4%-ban (19\/22) volt\n                    sikeres. A helyi \u00e9rz\u00e9stelen\u00edt\u00e9sben \u00e9s altat\u00e1sban v\u00e9gzett m\u0171t\u00e9tek k\u00f6zt nem\n                    tal\u00e1ltunk szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a sikeress\u00e9g tekintet\u00e9ben (p = 0,227).\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Tanulm\u00e1nyunk alapj\u00e1n az elv\u00e9gzett m\u0171t\u00e9teink\n                    eredm\u00e9nyess\u00e9ge a nemzetk\u00f6zi irodalomban k\u00f6z\u00f6ltekhez hasonl\u00f3 volt. A\n                    velesz\u00fcletett szemh\u00e9jcs\u00fcng\u00e9s korrekci\u00f3j\u00e1ra a k\u00f6t\u0151h\u00e1rtya fel\u0151li levatorred\u0151z\u00e9s\n                    megfelel\u0151 kezel\u00e9si m\u00f3d k\u00f6zepes vagy ann\u00e1l jobb levatorfunkci\u00f3 eset\u00e9n. Orv Hetil.\n                    2021; 162(18): 705\u2013711.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> Droopy eyelid (ptosis or blepharoptosis) is\n                    defined through abnormally low upper eyelid position. Ptosis can be classified\n                    as congenital or acquired. <jats:italic>Objective:<\/jats:italic> Our purpose was to report\n                    the results of posterior approach levator plication for congenital ptosis in a\n                    retrospective review. <jats:italic>Method:<\/jats:italic> 22 eyelids of 20 patients were\n                    included in this study (age: 19.4 \u00b1 9.9 years, male: 12 [60%], female: 8 [40%]).\n                    The inclusion criteria were moderate (5\u20138 mm) or good (more than 9 mm) levator\n                    function. Patients with postoperative follow-up time shorter than 3 months and\n                    those who underwent previous eyelid surgery were excluded. The data collected\n                    included preoperative levator function and margin reflex distance, postoperative\n                    margin reflex distance, inter-eyelid height asymmetry and postoperative eyelid\n                    contour. <jats:italic>Results:<\/jats:italic> Preoperative levator function was 10.6 \u00b1 3.0\n                    mm, preoperative margin reflex distance was 1.8 \u00b1 0.8 mm. During 7.8 \u00b1 7.2\n                    months postoperative follow-up, postoperative margin reflex distance was 3.2 \u00b1\n                    0.8 mm. The difference between preoperative and postoperative margin reflex\n                    distance was not significant (p = 0.523) in the group of successful operations\n                    compared with unsuccessful operations. Inter-eyelid height asymmetry was more\n                    than 1 mm in 3 cases. Satisfactory postoperative eyelid contour was achieved in\n                    all cases. Overall success rate was 86.4% (19\/22). Surgical success did not\n                    differ significantly between surgeries in local or general anaesthesia (p =\n                    0.227). <jats:italic>Conclusion:<\/jats:italic> Our study shows an overall success rate of\n                    the procedures comparable to those in international publications. Posterior\n                    approach levator plication for congenital ptosis with moderate or better levator\n                    function seems to be a suitable treatment method. Orv Hetil. 2021; 162(18):\n                    705\u2013711.<\/jats:p>","DOI":"10.1556\/650.2021.32091","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T12:26:12Z","timestamp":1622118372000},"page":"705-711","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Velesz\u00fcletett szemh\u00e9jcs\u00fcng\u00e9s m\u0171t\u00e9ti megold\u00e1sa a szemh\u00e9jemel\u0151 izom k\u00f6t\u0151h\u00e1rtya fel\u0151li red\u0151z\u00e9s\u00e9vel"],"prefix":"10.1556","volume":"162","author":[{"given":"Zsuzsanna","family":"Antus","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest, M\u00e1ria utca 39., 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"Luk\u00e1ts","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest, M\u00e1ria utca 39., 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ir\u00e9n","family":"Szalai","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest, M\u00e1ria utca 39., 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n Zsolt","family":"Nagy","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest, M\u00e1ria utca 39., 1085"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00f3ra","family":"Szentm\u00e1ry","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest, M\u00e1ria utca 39., 1085"},{"name":"2 Dr. Rolf M. Schwiete Zentrum f\u00fcr Limbusstammzellforschung und Kongenitale Aniridie, Universit\u00e4tsklinikum des Saarlandes, Klinik f\u00fcr Augenheilkunde, Homburg\/Saar, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Luk\u00e1ts O. Ptosis - droopy eyelid. In: Luk\u00e1ts O. (ed.) Abnormal position of eyelids in clinical practice and surgical correction. [Ptosis - szemh\u00e9jcs\u00fcng\u00e9s. In: Luk\u00e1ts O. (szerk.) K\u00f3ros szemh\u00e9j\u00e1ll\u00e1sok klinikuma \u00e9s m\u0171t\u00e9ti korrekci\u00f3ja.] Medicina K\u00f6nyvkiad\u00f3, Budapest, 2013; pp. 15-29. [Hungarian]"},{"key":"ref1","unstructured":"2 Kanski JJ. Ptosis. In: Edwards R. (ed.) Clinical ophthalmology: a systematic approach. Elsevier Butterworth-Heinemann, Philadelphia, PA, 2007; pp. 133-140."},{"key":"ref2","unstructured":"3 Kn\u00e9zy K. What do we know about amblyopia? State-of-the-art diagnosis and therapy. 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