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; Huang, Li; Yu, De Quan

doi:10.1007/s00266-014-0297-3

Cited by 15 publications

(7 citation statements)

References 14 publications

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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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“…General anesthesia was induced by an intravenous injection of either pentothal sodium or propofol followed by the inhalation of sevoflurane (2.5–3.5 vol%) and a 1:1 mixture of N 2 O:O 2 at 3 L/min. 5,7,8…”

Section: Methodsmentioning

confidence: 99%

Three Different Anesthesia Approaches in Blepharoptosis Surgery

Guo

Park

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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“…Vertical shortening of the lid or1ift up the ptotic eye lid. 6,7,8 periosteum. Then two supra brow stab incision made one at the junction of medial l/3rd and middle l/3 rd of the brow and another at the junction of the middle 1/3rd and lateral 1/3rd of the brow.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Comparison of Supramaximal Levator Plication With Tarso Frontalis Sling by Silicon Rod in Severe Ptosis With Poor Function Levator Palpebrae Superioris

Mandal¹,

Ganguly²,

Mandal³

2019

jemds

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BACKGROUND Drooping of upper lid is commonly known as ptosis. It may be unilateral or bilateral. It may be congenital or acquired. We wanted to evaluate the functional and cosmetic correction, complications and recurrence of levator plication and compare the same with tarso frontalis sling with silicon rod in severe ptosis with poor function LPS. METHODSThis is an institution based prospective, randomized, international comparative study of 40 eyes over a period of two years. Group A comprised of 20 eyes operated with levator plication of which three interrupted vertical mattress sutures with supra maximal plication of LPS. Group B comprised of 20 eyes operated with tarso frontalis sling with silicon rod. RESULTSOut of operated 40 cases, complications included significant inflammation and oedema in 1 st post-operative week in plication Gr-A. Scar was more in plication Gr-A. In this study, 6 cases had not satisfactory (gross under correction) result in plication Gr. and one case in Gr. B. This was treated with readjustment of the sling. With respect to uplift or fixed lid height post operatively, comparison between Gr -A and Gr -B results shows that there was good uplift with brow up and brow down in Group B which is statically significant (p<0.001). All the patients were followed up for six months to one year. CONCLUSIONSIn severe ptosis correction, tarso frontal sling is superior than supramaximal plication of LPS with regard to complications like inflammation, oedema, scar and cosmetic lid height. From technical point of view, surgical procedure is much easier (minimal invasive) in Gr-B. with a period of one year follow up. KEY WORDSPtosis, Lid Deformity, Lid HOW TO CITE THIS ARTICLE: Mandal SK, Ganguly P, Mandal A. Comparison of supramaximal levator plication with tarso frontalis sling by silicon rod in severe ptosis with poor function levator palpebrae superioris.

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

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Cited by 15 publications

References 14 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

Three Different Anesthesia Approaches in Blepharoptosis Surgery

Comparison of Supramaximal Levator Plication With Tarso Frontalis Sling by Silicon Rod in Severe Ptosis With Poor Function Levator Palpebrae Superioris

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