Direct Tarsus to Frontalis Muscle Sling without Flap Creation for Correction of Blepharoptosis with Poor Levator Function

Bagheri, Abbas; Ahadi, Hashem; Babsharif, Babak; Salour, Hossein; Yazdani, Shahin

doi:10.3109/01676830.2011.605502

Cited by 14 publications

(4 citation statements)

References 28 publications

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“…The upper eyelid would cover 1 mm over the lower edge of the cornea when the eyes are closed. After adjusting the position of the patients, the frontal muscular and pretarsal fascia were sutured (Goldberg & Lew, 2011;Bagheri et al, 2012). Second is the formation of the double eyelid.…”

Section: Methodsmentioning

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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Section: Methodsmentioning

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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“…Two main surgical options are shortening the levator muscle in order to enhance its function and using the frontalis muscle as the driving force to passively suspend the upper eyelid. Frontalis muscle flap suspension surgery is essentially using the frontalis muscle contraction instead of levator muscle function without frontalis motor nerve damage [1], [2], [3], [4], [5].…”

Section: Rationalementioning

confidence: 99%

Efficacy of Frontalis Muscle Flap Suspension in Treating Moderate to Severe Blepharoptosis

Minh¹,

Nghia²,

Son³

2021

VMJ

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Purpose: This study aims to evaluate the efficacy of frontalis muscle flap suspension in treating moderate to severe blepharoptosis. Study subjects: 54 eyes of 47 moderate to severe blepharoptosis patients (aged 17.34 ± 9.17 years, 18 males, 29 females). Study design: Prospective uncontrolled clinical trial. Results: Following frontalis muscle flap suspension surgery, there was a statistically significant improvement (p<0.001) in margin reflex distance 1 (MRD1) and palpebral fissure height (PFH), from 0.009 ± 0.60 mm and 5.59 ± 0.68 mm (pre-operation) to 2.68 ± 1.10 mm and 8.26 ± 1.14 mm (1 week after operation), 3.63 ± 0.77 mm and 9.24 ± 0.85 mm (6 months after operation), 3.45 ± 0.80 mm and 9.02 ± 0.89 mm (12 months after operation). At the 12th month after operation, it was found that severe lagophthalmos, lid lag on down-gaze and forehead hypoesthesia were present in 7.4%, 9.3% and 14.0% of all treated eyes, respectively. Excellent functional results were determined in 66,0% of procedures postoperatively, with 31,9% and 2,1% rated as good and unsatisfactory. In terms of cosmetic results, 78,7%, 19,1% and 2,1% of cases were rated as excellent, good and unsatisfactory, respectively. Conclusion: Majority of case results were excellent (78,7%) and good (19,1%), unsatisfactory cases 2,1%.

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“…40 Where a frontalis muscle flap is used, creation of a pulley in the levator aponeurosis may help minimize eyelid stand-off especially in deep set eyes. 40 Where a frontalis muscle flap is used, creation of a pulley in the levator aponeurosis may help minimize eyelid stand-off especially in deep set eyes.…”

Section: Ptosismentioning

confidence: 99%

Recent Advances in Ophthalmic Plastic Surgery

Honavar¹,

Manjandavida²

2013

Asia-Pacific Journal of Ophthalmology

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Direct Tarsus to Frontalis Muscle Sling without Flap Creation for Correction of Blepharoptosis with Poor Levator Function

Abstract: Direct sling of the upper tarsus to the frontalis muscle without creation of flap is an effective procedure for correction of ptosis in patients with weak levator function. Minimal dissection and preservation of the orbicularis oculi prevents lagophthalmus and its consequences.

Cited by 14 publications

References 28 publications

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

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

Efficacy of Frontalis Muscle Flap Suspension in Treating Moderate to Severe Blepharoptosis

Recent Advances in Ophthalmic Plastic Surgery

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