Comparison of Nylon Monofilament Suture and Polytetrafluoroethylene Sheet for Frontalis Suspension Surgery in Eyes With Congenital Ptosis

Hayashi, Kengo; Katori, Nobutada; Kasai, Kenichiro; Kamisasanuki, Taro; Kokubo, Kenichi; Ohno‐Matsui, Kyoko

doi:10.1016/j.ajo.2012.10.022

Cited by 33 publications

(32 citation statements)

References 29 publications

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“…Hayashi et al used the same technique for frontalis suspension with Gore-tex sheet as in group II in the current study, and found no recurrence [20]. However, they reported the occurrence of other complications in 3 of 42 (7%) eyelids with a mean follow-up period of 33 months.…”

Section: Discussionmentioning

confidence: 73%

“…Using Gore-tex sheet as in the current study was proved to be associated with lower postoperative complication rate than other designs of Gore-tex (strips and sutures) [10,12,16,20]. This was attributed to the tied knots at the ends of the strip or suture which had to be buried under the skin.…”

Section: Discussionmentioning

confidence: 91%

“…The tied knots of the strip were most likely large, leading to direct contact of the Gore-tex with the skin wound, which could lead to inflammation and infection, granuloma formation, or a combination thereof. These changes may be the main cause for the higher complication rate seen with the Goe-tex strips [20].…”

Section: Discussionmentioning

confidence: 99%

“…However, they reported the occurrence of other complications in 3 of 42 (7%) eyelids with a mean follow-up period of 33 months. Infections occurred in 2 (5%) eyelids, and an undercorrection of the ptosis was seen in 1 (2%) eyelid [20].…”

Section: Discussionmentioning

confidence: 99%

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Frontalis Suspension Using Autogenous Fascia Lata versus Gore-tex Sheet for Treatment of Congenital Ptosis with Poor Levator Function

Mandour¹

2015

J Clin Exp Ophthalmol

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Abstract:Objective: To compare the results of frontalis suspension using autogenous fascia lata versus Gore-tex sheet for treatment of moderate to severe congenital ptosis with poor levator function. Design: Prospective randomized controlled studyParticipants: Sixty eyelids of 47 patients, who attended health service in Menoufia University Hospitals.Methods: patients were divided into two groups. In group I (30 eyelids), upper eyelid tarsus was suspended to frontalis muscle using autogenous fascia lata. In group II (30 eyelids), upper eyelid tarsus was suspended to frontalis muscle using a ribbon of 0.3 mm Gore-tex sheet. Follow up of eyelid level and reporting postoperative complications and incidence of recurrence were done.Results: At 24 months postoperative (end of follow up period), there was no statistically significant difference between both groups regarding eyelid level. Three eyelids in group I, and 4 eyelids in group II had under-correction. Gore-tex related complications were detected in 6 eyelids of group II. Donor site complications where detected in 3 cases of group I. There was no significant difference regarding the complications between both groups. The recurrence rate was 10% (3 of 30 eyelids) for group I, and 16.7% (5 of 30 eyelids) for group II. The difference in recurrence rates was statistically insignificant. Conclusion:We conclude that use of Gore-tex sheet in frontalis suspension surgery is comparable to use of autogenous fascia lata with advantage of avoiding donor site complications.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Frontalis Suspension Using Autogenous Fascia Lata versus Gore-tex Sheet for Treatment of Congenital Ptosis with Poor Levator Function

Mandour¹

2015

J Clin Exp Ophthalmol

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“…However, the use of silk and other intermediaries is prone to infection or exclusion, or other complications. Therefore, blepharoptosis recurrence occurs and reoperation is usually required (Hayashi et al, 2013). The direct use of the frontalis muscle flap may prevent the above-mentioned problems, and the frontalis muscle flap had an independent vascular supply and innervation, which has become the preferred method of clinical treatment of blepharoptosis (Medel et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Frontalis Muscle Flap Suspension Surgery for the Treatment of Blepharoptosis Based on the Anatomical Study of the Frontal Muscle Nerve in the Third of the Eyebrow

et al. 2016

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Morphol., 34(1):197-204, 2016. SUMMARY:The aim of this study was to investigate the course of the supraorbital nerve and temporal branch of the facial nerve, and to verify the clinical security of cutting the frontalis muscle flap to treat blepharoptosis in one-third of the eyebrow. Twenty cadavers were dissected. The relationship of the supraorbital nerve and the course of the frontotemporal branch of the facial nerve with the head and neck muscles was evaluated. Forty patients underwent clinical frontal muscular flap suspension surgery for the treatment of blepharoptosis. The postoperative curative and complication rates were determined. The courses of the supraorbital nerve and frontotemporal branch of the facial nerve were observed to determine a relatively safe area in one-third of the eyebrow. The average width of the zone was 25.0±3.5 mm. In forty cases, satisfactory results were achieved in correcting blepharoptosis by cutting the frontal muscular flap in the middle of eyebrow within the wide range of 17±2.1 mm. No secondary sensory and motor dysfunctions occurred. One-third of the eyebrow (eyebrow center, within 17±2.1 mm) was a relatively safe area and allowed for the prevention of damage to the temporal branch of the facial nerve inside the supraorbital nerve and supraorbital artery and the outer frontotemporal branch of the facial nerve.

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Types of materials for frontalis sling surgery for congenital ptosis

Rosenberg

Andersen

Barmettler

2019

Cochrane Database of Systematic Reviews

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Background Congenital ptosis is a drooping of one or both eyelids at birth, o en due to poor development of the levator palpebrae superioris muscle. This can result in amblyopia, astigmatism, and ocular torticollis and therefore may necessitate surgical intervention in early childhood if visual development is compromised. Patients may have varied levels of levator function. Those with moderate to good function may elect to first attempt ptosis repair with external levator advancement or mullerectomy/Fasanella-Servat procedures. For those with poor function, those procedures are less likely to be e ective, so they may undergo frontalis sling surgery, in which the tarsal plate is coupled to the frontalis muscle, so that movement of the brow and forehead result in movement of the eyelid. The optimal material to use in this surgery is unknown. Objectives To evaluate the comparative e ectiveness and safety of various materials used in frontalis sling surgery for congenital ptosis. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Trials Register)

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Comparison of Nylon Monofilament Suture and Polytetrafluoroethylene Sheet for Frontalis Suspension Surgery in Eyes With Congenital Ptosis

Cited by 33 publications

References 29 publications

Frontalis Suspension Using Autogenous Fascia Lata versus Gore-tex Sheet for Treatment of Congenital Ptosis with Poor Levator Function

Frontalis Suspension Using Autogenous Fascia Lata versus Gore-tex Sheet for Treatment of Congenital Ptosis with Poor Levator Function

Frontalis Muscle Flap Suspension Surgery for the Treatment of Blepharoptosis Based on the Anatomical Study of the Frontal Muscle Nerve in the Third of the Eyebrow

Types of materials for frontalis sling surgery for congenital ptosis

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