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New research · Ophthalmology
The Journal of craniofacial surgery · 2d
Cohort studyThe Journal of craniofacial surgery · 2026

Pediatric Sutureless Conjunctiva-Sparing Versus Traditional Müllerectomy: A Comparative Study.

Liane O Dallalzadeh, Sava V Novakovic, Phillip A Tenzel … Ronald Mancini
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OphthalmologyCohort study

Sutureless conjunctiva-sparing Müllerectomy is significantly faster than traditional Müller muscle-conjunctival resection.

Pediatric Sutureless Conjunctiva-Sparing Versus Traditional Müllerectomy: A Comparative Study.

Liane O Dallalzadeh … Ronald Mancini
The Journal of craniofacial surgery · 2026
Purpose

To compare sutureless conjunctiva-sparing Müllerectomy (CSM) versus Müller muscle-conjunctival resection (MMCR) in pediatric ptosis repair.

Methods

With prior ptosis repair were excluded.

Results

surgeons finished this eyelid procedure much faster, without sacrificing results

7.5min
Sutureless CSM
13.5min
MMCR
More results

Thirty-three operative eyelids met the inclusion criteria: 13 underwent sutureless CSM, and 20 underwent traditional Müllerectomy.

Age at surgery, preoperative MRD1, and levator function did not significantly differ between cohorts.

Both cohorts were predominantly comprised of patients with congenital myogenic ptosis.

More results

Reoperation rates (33% versus 18%; P=0.35) and complication incidence (none in both groups) were comparable.

“
Conclusion

Sutureless CSM achieves similar eyelid elevation and symmetry to MMCR while reducing operative time, supporting its adoption as a safe and efficient alternative in pediatric ptosis repair.

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