Intra-eyebrow frontalis suspension using inverted Y-shaped short autogenous fascia lata for blepharoptosis with poor levator function

Shimizu, Yusuke; Nagasao, Tomohisa; Shido, Hirokazu; Fujii, Tomohiko; Kato, Tatsuya; Aoki, Miki; Takada, Keiko; Kishi, Kazuo

doi:10.1016/j.bjps.2014.08.068

Cited by 12 publications

(8 citation statements)

References 13 publications

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“… 12 , 13 Various configurations of fascial strips such as a straight fan shape, triangular, pentagon, and W or inverted Y have been described. 14 , 15…”

Section: Discussionmentioning

confidence: 99%

“…12,13 Various configurations of fascial strips such as a straight fan shape, triangular, pentagon, and W or inverted Y have been described. 14,15 However, in our practice, we find it ideal to use "curtain" shaped strips. It must be realized that a normal levator muscle truly works as a curtain with its vector of pull, cranially and directly.…”

Section: Abdulrauf • Frontalis Suspension In Muscular Dystrophymentioning

confidence: 99%

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Frontalis Suspension in Muscular Dystrophy: 16-years Follow-up

Abdulrauf¹

2022

Plastic and Reconstructive Surgery - Global Open

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Summary Acquired eyelid ptosis in adults, with complete loss of levator palpebrae superiosis function, can be a challenging problem to diagnose and treat. A 48-year-old woman with chronic bilateral severe blepharoptosis of 10 years duration is presented, whose neurological investigations excluded myasthenia gravis. The patient was preliminarily diagnosed with chronic progressive external ophthalmoplegia. The levator excursion was negligible, and a frontalis suspension procedure was considered using a conventional autogenous fascia lata graft. An optimal outcome was achieved with over 16-years follow-up. Although the patient was healthy otherwise upon first presentation, 10 years later, she developed other neurologic manifestations, including dysphagia and oral dryness. The fact that blepharoptosis did not recur over the years in this case differentiates an oculo-pharyngeal type of muscular dystrophy in this patient from other types and from the more frequent condition of chronic progressive external ophthalmoplegia.

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“… 12 , 13 Various configurations of fascial strips such as a straight fan shape, triangular, pentagon, and W or inverted Y have been described. 14 , 15…”

Section: Discussionmentioning

confidence: 99%

Section: Abdulrauf • Frontalis Suspension In Muscular Dystrophymentioning

confidence: 99%

Frontalis Suspension in Muscular Dystrophy: 16-years Follow-up

Abdulrauf¹

2022

Plastic and Reconstructive Surgery - Global Open

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“…Es werden verschiedene Materialien zur Aufhängung des Oberlids verwendet. Als autologes Material wird in der Literatur vor allem auf die Fascia lata hingewiesen [16][17][18][19], auf die Verwendung eines Teils der Sehne des FCR (M. flexor carpi radialis) [20] und seit 1990 wird, allerdings selten, die Palmaris-longus-Sehne verwendet [21][22][23]. Bei Verwendung der Fascia lata ist die Komplikationsrate gegenüber verschiedener anderer Materialien (Silikon, Chrom, Catgut, Nylon, PTFE [Polytetrafluoroethylen] und Kollagen) am niedrigsten [8].…”

Section: Diskussionunclassified

Suspensionsoperation der Ptose des Oberlids durch die Sehne des M. palmaris longus an den M. frontalis

Wenger

Piza‐Katzer²

2017

Klin Monatsbl Augenheilkd

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In cases of blepharoptosis, the upper eyelid either cannot or can only be elevated insufficiently. The aetiology may be myogenic, aponeurotic, neurogenic, mechanical, or traumatic. The most common cause of congenital ptosis is myogenic, due to the improper development of the levator muscle. Frontalis suspension operation as a technique of correction often uses silicone slings or fascia lata. On the basis of 3 cases, we present our method using palmaris longus tendon. In all 3 cases, intra- and postoperative courses were without adverse events and all cases are still relapse-free. Our technique using palmaris longus tendon for suspension of the frontalis muscle is a very good alternative to fascia lata or silicone slings. We achieved satisfactory results for eyelid opening and symmetry.

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“…The upper eyelid is composed of the levator facial muscle, the Whitnall ligament, the Müller muscle, blood vessels, and the lacrimal gland. Inflammation, trauma, tumors, and other secondary diseases of the body can cause partial or complete functional loss of the levator palpebral muscle and Muller smooth muscle, resulting in upper eyelid drooping (one or both upper eyelids lower than the normal position by more than 2 mm) (1). There are also some patients with congenital ptosis.…”

Section: Introductionmentioning

confidence: 99%

A randomized trial of psychological intervention on perioperative anxiety and depression of patients with severe blepharoptosis undergoing autologous fascia lata frontal muscle suspension

Cai¹,

Xu²

2021

Ann Palliat Med

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Background: Perioperative negative emotion of surgical patients has a greater impact on surgical efficacy and prognosis. The study aimed to analyze the effect of psychological intervention on perioperative anxiety and depression of patients with severe blepharoptosis undergoing autologous fascia lata frontal muscle suspension, and provide a reference for improving and optimizing patient care plans.Methods: Ninety-two patients with severe blepharoptosis who underwent autologous fascia lata frontal muscle suspension in our hospital from February 2018 to January 2020 were selected as the research subjects.Patients were numbered according to the order of operation, and were divided into a control group ( 46cases) and an observation group (46 cases) using a numerical random table method. Patients in both groups received routine nursing intervention during the perioperative period, and patients in the observation group also received psychological intervention during this period. The two groups of patients were evaluated using the Hamilton Anxiety Scale (HAM-A) and Hamilton Depression Scale (HAM-D). Numerical rating scale (NRS) results for surgical site pain were evaluated and compared between the groups. The perioperative compliance rate and nursing satisfaction rate of the two groups of patients were investigated and compared.Intraoperative and postoperative complications were collected, sorted, and compared between the two groups of patients.Results: (I) The HAM-A and HAM-D scores of the observation group before and after surgery were significantly lower than those of the control group (P<0.05). (II) The NRS scores of patients in the observation group were markedly lower than those in the control group at 6 h and 24 h postoperatively (P<0.05). (III) The intra-and post-operative complication rate of the observation group was lower than that of the control group (P<0.05). (IV) The compliance rate and the total satisfaction rate of patients with the perioperative care in the observation group was considerably higher compared to that of patients in the control group (P<0.05).Conclusions: Our results showed that psychological intervention can effectively alleviate the negative emotions in patients with severe blepharoptosis who underwent autologous fascia lata frontal muscle suspension, improve their compliance with medical care, reduce their pain, and increase their satisfaction rate. Therefore, psychological intervention has high clinical value.

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Intra-eyebrow frontalis suspension using inverted Y-shaped short autogenous fascia lata for blepharoptosis with poor levator function

Cited by 12 publications

References 13 publications

Frontalis Suspension in Muscular Dystrophy: 16-years Follow-up

Frontalis Suspension in Muscular Dystrophy: 16-years Follow-up

Suspensionsoperation der Ptose des Oberlids durch die Sehne des M. palmaris longus an den M. frontalis

A randomized trial of psychological intervention on perioperative anxiety and depression of patients with severe blepharoptosis undergoing autologous fascia lata frontal muscle suspension

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