Erratum to: Frontalis Muscle Flap Advancement for Correction of Severe Ptosis Under General Anesthesia: Modified Surgical Design with 162 Cases in China

Zhou, Mingshu; Jin, Rui; Li, Qingfeng; Duan, Yongan; Li, Huang; Yu, Dong

doi:10.1007/s00266-014-0320-8

Cited by 9 publications

(15 citation statements)

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“…Moreover, it is difficult to apply these procedures to young patients because of their lower cooperation, also difficult to general anesthesia patients. Therefore, precise preoperative designing through repetitive measurements is required for young patients or those with a lower degree of cooperation 16 .…”

Section: Discussionmentioning

confidence: 99%

Ten Years of Results of Modified Frontalis Muscle Transfer for the Correction of Blepharoptosis

2016

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BackgroundConventional frontalis transfer may cause a range of complications. In order to overcome complications, we made modifications to the surgical technique, and compared the outcomes of patients who underwent conventional frontalis transfer with those of patients who underwent modified frontalis transfer.MethodsWe conducted a retrospective study of 48 patients (78 eyes) who underwent conventional frontalis transfer between 1991 and 2003 (group A) and 67 patients (107 eyes) who underwent modified frontalis transfer between 2004 and 2014 (group B). The frontalis transfer procedures were modified conform to the following principles. The tip of the frontalis muscle flap included soft tissue that was as thick as possible and the soft tissue on the tarsal plate was removed to the greatest extent possible. A double fold was created in cases of unilateral ptosis. In order to evaluate the objective effects of modification, preoperative and postoperative values of the marginal distance reflex 1 (MRD1), the corneal exposure area, and the decrease in eyebrow height were compared between the two groups.ResultsIn group A, patients showed an improvement of 1.19 mm in the MRD1, a 6.31% improvement in the corneal exposure area, and a 7.82 mm decrease in eyebrow height. In group B, patients showed an improvement of 2.17 mm in the MRD1, an 8.39% improvement in the corneal exposure area, and an 11.54 mm decrease in eyebrow height. The improvements in group B were significantly greater than those in group A.ConclusionsModified frontalis transfer showed better results than the conventional procedure and provided satisfactory outcomes.

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Section: Discussionmentioning

confidence: 99%

Ten Years of Results of Modified Frontalis Muscle Transfer for the Correction of Blepharoptosis

2016

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“…Variations in flap design exist in the literature, including a combination of eyelid crease and brow incisions, medial L-shaped rotation flaps, superior-based rectangular flaps, and releasing over and under the frontalis flap 19,20,22–24,25–27 . This minimal dissection frontalis flap advancement technique can be performed through a single aesthetically pleasing eyelid crease incision.…”

Section: Discussionmentioning

confidence: 99%

Minimal Dissection Direct Frontalis Muscle Advancement Flap for Congenital Ptosis Repair

Dallalzadeh¹,

Park

Korn

et al. 2021

Journal of Craniofacial Surgery

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Background: Frontalis flap advancement is an alternative means of congenital ptosis repair from frontalis suspension utilizing autologous fascia or allogenic implants. Variations in technique, including flap division, location and number of skin incisions, and dissection planes, are described in the literature. Materials and Methods: A retrospective case series of patients with congenital myogenic ptosis treated with simplified, minimal dissection frontalis flap advancement involving a single upper eyelid crease incision with dissection in the preseptal and subcutaneous planes without division to mobilize the frontalis flap. Inclusion criteria: pediatric patients age < 18 years with either primary or recurrent congenital ptosis following previous surgical repair. Exclusion criteria: ptosis of neurogenic etiology or postoperative follow-up < 3 months. Primary outcome measures were postoperative margin-reflex distance 1 (MRD1), the difference in MRD1 between surgical and nonsurgical eyelids in unilateral ptosis, and lagophthalmos. Secondary outcome measures included recurrence and complications. Results: Twenty-six patients met inclusion criteria, 24 males and 2 females. Mean postoperative MRD1 at last follow-up was 2.9 AE 1.2 mm and the mean difference in MRD1 between surgical and nonsurgical eyelids at last follow-up was 1.1 AE 1.0 mm. Average lagophthalmos at postoperative month 2 to 5 was 0.6 AE 0.7 mm. One patient demonstrated postoperative lid retraction that required re-operation. Four of 31 eyelids (12.9%) demonstrated ptosis recurrence at 5, 12, or 24 months.Conclusions: In this retrospective series, the authors report clinically and statistically significant surgical eyelid height improvement and symmetry between nonsurgical and surgical eyelids in congenital ptosis patients treated with minimal dissection direct frontalis flap advancement.

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“…When it comes to severe ptosis, surgical intervention is required. Various surgical methods are widely accepted, [8][9][10][11][12][13][14][15][16][17] these include: frontalis suspension with sling material, conjoint fascial sheath (CFS) suspension and frontalis muscle flap; however, these come with drawbacks.…”

Section: Table 2 Demographics Of 43 Patientsmentioning

confidence: 99%

“…From the authors' observations across China and articles from different areas, the technique of harvesting the frontalis muscle flap is highly variable. 10,17,25 Depending on the level of surgical experience, many would only free up limited amounts of frontalis muscle during dissection phase and instead, advances predominantly the frontalis fascia with minimal or no muscle fibers. This fascia is fibrous, inelastic and when attached to the tarsus alone, is an inefficient way of transmitting kinetic movement from the frontalis muscle.…”

Section: Table 2 Demographics Of 43 Patientsmentioning

confidence: 99%

Improved Eyelid Muscle Tension Balance With Refined Frontalis Muscle Flap Suspension in the Treatment of Severe Ptosis

Zhu

Woo

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Background: The tension balance of the upper eyelid following ptosis repair is crucial to a successful postoperative outcome. To improve on existing surgical techniques, the authors developed a new refined frontalis muscle flap suspension (FMFS) for severe ptosis repair and explored the balancing effect between the orbicularis muscle and frontalis muscle following surgery. Methods: Forty-three patients (47 eyes) with a mean age of 6.07 ± 2.55 years old were diagnosed with severe congenital ptosis and underwent refined FMFS with complete orbicularis preservation between January 1, 2010 and December 31, 2017 in the Wenzhou Eye Hospital, Wenzhou, China. The outcomes measured include upper eyelid margin reflex distance (MRD1), degree of lagophthalmos, and cosmetic outcome (lash angle, eyelid contour, and crease). Surgical complications were also recorded. Results: The preoperative mean MRD1 was −1.29 ± 0.88 mm and preoperative levator function was 1.87 ± 0.82 mm (ranged from 0 to 3.0 mm). Following surgery, lagophthalmos was observed in all cases in the first week with a mean palpebral fissure height of 1.68 ± 0.40 mm and diminished over 3 months. The MRD1 improved to +3.04 ± 0.68 mm at 6 months following surgery. All cases showed excellent cosmetic outcomes. There were no significant complications. Conclusion: The refined FMFS is a safe and reliable surgery in treating severe ptosis. The eye-closing power of the intact orbicularis muscle is sufficient at countering the lifting power of the frontalis muscle suspension, achieving a balanced blink mechanism and eyelid closure.

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Erratum to: Frontalis Muscle Flap Advancement for Correction of Severe Ptosis Under General Anesthesia: Modified Surgical Design with 162 Cases in China

Cited by 9 publications

References 0 publications

Ten Years of Results of Modified Frontalis Muscle Transfer for the Correction of Blepharoptosis

Ten Years of Results of Modified Frontalis Muscle Transfer for the Correction of Blepharoptosis

Minimal Dissection Direct Frontalis Muscle Advancement Flap for Congenital Ptosis Repair

Improved Eyelid Muscle Tension Balance With Refined Frontalis Muscle Flap Suspension in the Treatment of Severe Ptosis

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