Congenital ptosis: Long-term outcome of frontalis suspension using autogenous temporal fascia or fascia lata in children

Philandrianos, C.; Galinier, P.; Salazard, B.; Bardot, J.; Magalon, G.

doi:10.1016/j.bjps.2009.01.083

Cited by 40 publications

(20 citation statements)

References 10 publications

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“…Other authors have reported the use of silicone implant suspension in patients with poor or absent levator muscle function [18], [19]. Our results, including the 97.6% satisfied rate and low rate of complications compare very favorably with those reported by other studies [11], [12], [15]–[17].…”

Section: Discussionsupporting

confidence: 86%

Frontalis Muscle Flap Suspension for the Correction of Congenital Blepharoptosis in Early Age Children

Hou

Lin

et al. 2013

PLoS ONE

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BackgroundWe aimed to report our successful use of frontalis muscle flap suspension for the correction of congenital blepharoptosis in early age children.MethodsThis retrospective study included 61 early age children (41 boys, 20 girls) with an average age of 6 years (range, 3–10 years) with congenital blepharoptosis who received surgery during the period from March 2007 to January 2011. There were 39 cases of unilateral blepharoptosis and 22 cases of bilateral blepharoptosis, thus a total of 83 eyes were affected. If patient had bilateral blepharoptosis, both eyes were operated on in the same surgery. Patients were followed for 3 months to 5 years. The procedure was performed without complications in all cases.ResultsThe postoperative healing grade was good in 81 eyes (97.6%); the correction of blepharoptosis was satisfactory, the double eyelid folds were natural and aesthetic, the eyelid position and the curvature were ideal, and the eyes were bilaterally symmetrical. The postoperative healing grade was fair in 2 eyes (2.4%); blepharoptosis was improved compared with that before surgery. At discharge, lagophthalmos was noted in 10 eyes of which 4 cases resolved by the last follow-up. The remaining 6 cases were mild. Eleven eyes received reoperation for residual ptosis after the first surgery. The curvature of the palpebral margin was not natural in 4 eyes. These unnatural curvature possibly was caused by an excessively low lateral fixation point or postoperative avulsion.ConclusionFrontalis muscle flap suspension under general anesthesia for the correction of congenital blepharoptosis in early age children can achieve good surgical results.

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Section: Discussionsupporting

confidence: 86%

Frontalis Muscle Flap Suspension for the Correction of Congenital Blepharoptosis in Early Age Children

Hou

Lin

et al. 2013

PLoS ONE

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“…As the levator function of the patient was bilaterally 3 mm, the frontalis sling technique was chosen. In general, ptosis with less than 4 mm levator function needs a sling procedure,5 but with more levator function, levator advancement surgery is applied 6. As an excessive advancement of levator often leads to an eyelid-eyeball dissociation, causing dry eyes, a sling procedure should be used in such a case.…”

Section: Discussionmentioning

confidence: 99%

“…As an excessive advancement of levator often leads to an eyelid-eyeball dissociation, causing dry eyes, a sling procedure should be used in such a case. In the past, numerous materials have been used for slings like silicone rods, GORE-TEX ® , and autologous tissue graft 5,7–9. The autologous graft from fascia lata was chosen rather than the artificial material in terms of its histocompatibility.…”

Section: Discussionmentioning

confidence: 99%

Frontalis sling procedure for ocular myasthenia gravis

Asamura¹,

Kakizaki²,

Enjyo³

et al. 2012

OPTH

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A 39-year-old woman was diagnosed with myasthenia gravis when she was 8 years old. Although many treatments – such as cholinesterase inhibitors and steroids – had been given to the patient, her condition did not improve sufficiently. As she demonstrated bilateral 3 mm levator function without any eye movement disturbances, bilateral frontalis sling procedures were performed with an autologous fascia lata. One year after the operation, the operated upper eyelids showed symmetrically appropriate heights with good functional outcome. A sling procedure with an autologous fascia lata was suitable for correcting poor levator function of an ocular myasthenia gravis case.

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“…Among these sling biomaterials, the autogenous fascia lata (Fig. 1) is believed the best biomaterial for blepharoptosis surgery with comparably low rates of recurrent blepharoptosis and infections (Wagner et al ., '84; Zweep and Spauwen, '92; Wasserman et al ., 2001; Leibovitch et al ., 2003; Metha et al ., 2004a,b; Philandrianos et al ., 2010). On the other hand, they require a second operative site and additional surgery time.…”

Section: Introductionmentioning

confidence: 99%

Nanostructural investigation of frontalis sling biomaterial surfaces

et al. 2011

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This study examined the nanostructural surface of three frontalis sling biomaterials: autogenous fascia lata, preserved fascia lata and silicone rod. The morphological characteristics of the sling biomaterial surfaces were examined qualitatively and quantitatively by scanning electron microscopy and atomic force microscopy, respectively. The autogenous fascia lata showed well-arranged nanostructures of parallel fascia collagen fibrils with clear 67 nm axial periodicity, whereas the preserved fascia lata showed tangled nanostructures of damaged collagen fibril bundles. The silicone rod showed a substantial amount of debris with some scratches and the smoothest roughness compared with the other sling biomaterials, followed by preserved fascia lata. Autogenous fascia lata showed the highest surface roughness. The association between the roughness and cell adhesion suggests that the nanostructure of autogenous fascia lata biomaterials is the best for frontalis sling and that of the silicone rod biomaterials is the worst.

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Congenital ptosis: Long-term outcome of frontalis suspension using autogenous temporal fascia or fascia lata in children

Cited by 40 publications

References 10 publications

Frontalis Muscle Flap Suspension for the Correction of Congenital Blepharoptosis in Early Age Children

Frontalis Muscle Flap Suspension for the Correction of Congenital Blepharoptosis in Early Age Children

Frontalis sling procedure for ocular myasthenia gravis

Nanostructural investigation of frontalis sling biomaterial surfaces

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