Frontalis suspension procedure with an upper retroauricular fascia graft: a preliminary case report

Ueno, Kazuki; Shirakawa, Yuji; Wada, Yoshitaka; Uemura, Kazuhisa; Kumegawa, Shinji; Iwanishi, Hiroki; Saika, Shizuya; Asamura, Shinichi

doi:10.18240/ijo.2020.12.25

Cited by 2 publications

(2 citation statements)

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“…Other true synthetics include chromic gut, polypropylene, silicone, silk, nylon monofilament, polyester, and artificial dura 4–16 . Tensor fascia lata tendon is the most commonly used autogenous tissue; the use of retro‐auricular fascia grafts, temporalis fascia or ulnar flexor tendon has also been described 1,17–20 …”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11][12][13][14][15][16] Tensor fascia lata tendon is the most commonly used autogenous tissue; the use of retroauricular fascia grafts, temporalis fascia or ulnar flexor tendon has also been described. 1,[17][18][19][20] Sling configurations include Crawford's doublerhomboid (pentagon), double pentagon, single-rhomboid technique, double-triangle, and single-triangle. Depending on the specific technique, one to three supra-brow stab incisions are performed.…”

Section: Introductionmentioning

confidence: 99%

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Silicone sling frontalis suspension for congenital ptosis: Outcome of 174 consecutive cases

Prat

Ramakrishnan

Zhao

et al. 2022

Clinical Exper Ophthalmology

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Background: Frontalis suspension (FS) is the treatment of choice in congenital ptosis with poor levator function. We report the surgical outcome of FS using a double triangle configuration of silicone slings in children. Methods: A retrospective cohort study of all paediatric patients with simple myogenic congenital ptosis repaired with FS over a 12-year period (2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020). Each silicone sling was secured by simple knots. Pre-and post-operative margin reflex distance (MRD 1 ) measurements were determined from clinical photographs using ImageJ Software. Main outcome measures were improvement in eyelid height, eyelid asymmetry, reoperation rate and timing.Results: One hundred and thirty nine patients (174 eyes) were included, with 35 (25%) having bilateral surgery. Mean (±SD) age was 1.4 ± 1.9 years.Mean follow up time was 32 ± 20.5 months. Sixteen patients (11%) had a history of previous ptosis repair surgery. Mean MRD 1 improved by an average of 1.5 mm. The final MRD 1 in the group of patients who did not have a second procedure was a mean of 2.1 mm. The MRD 1 difference between both eyes in all unilateral cases improved from 2.5 mm preoperatively to 1.2 mm at final visit (p < 0.001). In the 123 cases without a history of previous ptosis surgery, repeat ptosis repair was performed in 37 (30%) patients, 34.9 ± 19.9 months after the initial procedure. Overall, repeat repair was performed in 47 patients (34%).Conclusions: Double triangle silicone sling frontalis suspension has a favourable outcome in two-thirds of paediatric patients with simple myogenic congenital ptosis. Failed cases can be addressed with a second repair, using either autogenous fascia lata or a second silicone sling.

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Section: Introductionmentioning

confidence: 99%