Frontalis Suspension for Upper Eyelid Ptosis: Evaluation of Different Surgical Designs and Suture Material

Simon, Guy J. Ben; MacEdo, Aisha A.; Schwarcz, Robert; Wang, Debbie Y.; McCann, John D.; Goldberg, Robert A.

doi:10.1016/j.ajo.2005.05.031

Cited by 169 publications

(132 citation statements)

References 36 publications

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“…Suture extrusion rates in other studies have been reported between 5 and 17%. 6 This complication was not seen in our study. This may reflect the ease of burying prolene sutures within the subcutaneous tissues and its low tissue reactivity.…”

Section: Discussioncontrasting

confidence: 47%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13] In children, such materials are often used as temporary measures until autogenous fascia lata frontalis suspension can be performed. Prolene has been shown to be an adequate temporary suspensor material for frontalis suspension in very young children, 14 but other studies of prolene in ptosis surgery have reported mixed results.…”

Section: Introductionmentioning

confidence: 99%

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Prolene frontalis suspension in paediatric ptosis

Chow

Deva

2011

Eye

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Aim The aim of this study was to assess the efficacy of frontalis suspension using 4-0 prolene sutures for paediatric ptosis with poor levator function. Patients and methods A retrospective chart review was performed on children who underwent 4-0 prolene frontalis suspension from 2000 to 2008 with a minimum of 6 months' follow-up. Functional success was defined when three criteria were met: (a) satisfactory lid height (defined as marginto-reflex distance Z3 mm with minimal frontalis muscle tone); (b) satisfactory lid symmetry (r2 mm asymmetry in margin-toreflex distance); and (c) satisfactory cosmesis. Recurrence was defined by a drop in lid height of Z3 mm from the initial post-operative level. Results A total of 23 patients (30 eyelids) were included. The mean follow-up duration was 28.7 months (range 6.3 to 100 months). The functional success rate was 74% (17/23 patients). Ptosis recurred in 22% (5/23) of patients. Only one patient (4%) developed a complication: a case of minor wound infection. Conclusions In paediatric ptosis with poor levator function, prolene frontalis suspension has good efficacy and an excellent safety profile. The results of prolene frontalis suspension are comparable to those of other non-autogenous materials.

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Section: Discussioncontrasting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Prolene frontalis suspension in paediatric ptosis

Chow

Deva

2011

Eye

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“…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: 92%

“…Two comparative studies have shown that a fascia lata sling is more efficacious than a sling made of other materials, except for that made of expanded polytetrafluoroethylene (Gore-tex) [7,10]. Ben Simon and associates reported that Gore-tex strip surgery had the lowest percentage of ptosis recurrence (15%) as compared with fascia lata (22%), Nylon (25%), and Silicone (44%), although these differences were not statistically significant [10].…”

Section: Discussionmentioning

confidence: 99%

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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“…ent alternative methods such as levator resection, Müller-aponeurosis composite flap advancement, and the frontalis suspension procedure. The latter is commonly performed using bridge materials such as preserved fascia lata (PFL) or synthetic materials like polyester, polytetrafluoroethylene, nylon, polypropylene, and silicone rods, although there is no general agreement on which material is superior when compared to the others [14,15]. In the case of autologous materials, there have been concerns about donor site scarring.…”

Section: Discussionmentioning

confidence: 99%

Frontalis Transfer and Closed Silicone Rod Frontalis Suspension

Lee

Park

2016

Arch Aesthetic Plast Surg

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Background Improvements in the degree of marginal reflex distance 1 (MRD1) were compared before and after use of the frontalis transfer (FT) method and closed silicone rod frontalis suspension surgery (SS) for severe blepharoptosis under general or local anesthesia with or without minimal sedation. Methods We reviewed the medical records and photographs of 76 patients who had visited our institute between 2006 and 2013 because of severe blepharoptosis with poor levator function and treated by the same senior doctor. Results In total, 104 eyes (63 patients) were included after applying exclusion criteria; 71 eyes (44 patients) were corrected using FT, and 33 eyes (19 patients) were corrected using the frontalis sling method with a silicone rod. Among the general FT, local FT, general SS, and local SS groups, the mean preoperative MRD1 was not significantly different. Postoperative MRD1 was highest in the local FT group. Conclusions Both FT and SS positively increased MRD1, regardless of the anesthesia used; however, the change in MRD1 of the general SS group was the lowest (1.11±0.848 mm). Further, general FT, local FT, and local SS groups had an approximate 2 mm or greater increase in the differences between postoperative and preoperative MRD1. Specifically, the local FT group had a definite positive correlation with postoperative MRD1.

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Frontalis Suspension for Upper Eyelid Ptosis: Evaluation of Different Surgical Designs and Suture Material

Cited by 169 publications

References 36 publications

Prolene frontalis suspension in paediatric ptosis

Prolene frontalis suspension in paediatric ptosis

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

Frontalis Transfer and Closed Silicone Rod Frontalis Suspension

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