Double Rhomboid Silicone Rod Frontalis Suspension

Goldberger, Sam; Conn, Howard F.; Lemor, Marcos

doi:10.1097/00002341-199103000-00006

Cited by 39 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1][2][3] Different techniques and a variety of materials have been used. [4][5][6] Most synthetic materials do not have adequate tissue incorporation and the results are typically less satisfactory in the long term. 7 The synthetic macromesh material Mersilene was first reported by Downes and Collin 8 in 1989, as a suspending material in ptosis surgery.…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of ptosis correction using Mersilene mesh

Sharma

Willshaw

2003

Eye

View full text Add to dashboard Cite

The preferred operation for correction of severe ptosis with minimal levator function is a brow suspension procedure. Owing to the poorly developed fascia lata in young children, and concerns about the side effects of harvesting fascia, we have, for many years, used synthetic Mersilene mesh as our suspending material. We present our experience with this material over the last 10 years. We have undertaken a retrospective analysis of the case notes of all patients undergoing brow suspension surgery, using Mersilene mesh, from 1990 to 1999. Functional and cosmetic success was recorded with respect to long-term stability. Data from 41 patients (71 lids, 30 bilateral and 11 unilateral procedures) were analysed. The minimum follow-up period was 12 months with a mean of 38.4 months (SD 23.3). We found a long-term stability of ptosis correction in 67/71 (94.4%) procedures (38/41 (92.7%) of patients). Parental satisfaction was achieved in 90.1% (64/71) of procedures or in 85.4% patients (35/41). Four lids (5.4%) of three patients (7.4%) required further surgery. Mersilene mesh is a safe and convenient suspensory material for brow suspension in young children, and provides good long-term results with a low complication rate.

show abstract

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of ptosis correction using Mersilene mesh

Sharma

Willshaw

2003

Eye

View full text Add to dashboard Cite

show abstract

“…24 Many organic and inorganic materials have been proposed for use in frontalis suspension, including skin and muscle, 25 autologous and homologous fascia lata, 26 temporal fascia, 27 umbilical vein from a conserved placenta, 28 and long palmar tendon, 29 as well as Supramid, 30 Gore-Tex, 11 Mersilene, 31 Prolene, 32 expanded polytetrafluoroethylene, 33 and silastic bands. 34 In regards to inorganic materials, there is always the concern that these can lead to the formation of foreign-body granulomas, infection, or extrusion. 26 According to literature, 35 non-autogenous materials 1 10 12 0 1 1 2 28 22 9 12 10 13 2 1 2 1 3 0 1 0 2 2 9 2 3 1 0 1 3 1 0 1 3 3 14 12,5 0 2 1 2 32 25 12 16 13 16 4 1 4 1 4 À1 2 0 2 31 25 11 14 12 15 5 1 4 1 3 1 3 1 2 3 are known to have higher ptosis recurrence rate (20-35%, depending on the material used and the follow-up period) and, moreover, a higher exposure keratopathy, infection and granuloma formation rates.…”

Section: Discussionmentioning

confidence: 99%

A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

Savino

Mandarà

Calandriello

et al. 2015

Orbit

View full text Add to dashboard Cite

show abstract

“…Payr [4] first reported the brow suspension using fascia lata, and this was further pioneered by Crawford [5]. The technique has since been extensively modified employing different sling materials including autogenous (fascia lata [5][6][7], palmaris longus [8]) and synthetic (monofilament nylon [9], mersilene mesh [8,[10][11][12], PTFE [9,[13][14][15], Prolene [16] and silicone [17][18][19]). Various suture configurations have also been described including the double triangle [5,20,21], double rhomboid [22], pentagon [12,19,23,24] and single loop [25].…”

Section: Discussionmentioning

confidence: 99%

“…The authors concluded that anchorage of the SM to tarsus may be indicated in children with a known history of atopy, allergy or reduced vision. However, Goldberger et al [18] in their series of 12 adult eyelids described the use of silicone rods in a bi-rhomboid configuration. They argue that due to the significant width of the silicon rod, cheese-wiring should be prevented and thus tarsal fixation is not required.…”

Section: Discussionmentioning

confidence: 99%

The open sky approach to brow suspension surgery

Norris

Malhotra

2011

Eur J Plast Surg

View full text Add to dashboard Cite

This study was conducted to review the results of the open sky approach to frontalis suspension surgery for upper eyelid ptosis and reduced levator function. A retrospective, non-comparative audit in which all patients undergoing open sky approach frontalis suspension surgery with full-thickness skin crease incision and tarsal fixation of suspension material (SM). Outcomes reported include: upper eyelid height, pretarsal show, skin crease depth and contour based on postoperative standardised photographs. We reviewed 616 consecutive ptosis procedures over a 5-year period, of which 31 involved frontalis suspension (18 patients: seven female, 11 male). Mean age was 45.7± 26.7 years. SMs used included: silicon rod (n =21), autogenous fascia lata (n=8) and polytetrafluoroethylene (n=2). Upper eyelid height significantly improved from 1.12 ± 1.2 to 3.2 ± 1.3 mm post-surgery (P ≤ 0.0001). Pretarsal show was significantly higher preoperatively (7.4±2.3 mm) compared to postoperative measurements (5.6±2.4 mm) (P=0.005). Of the total cases, 84% had an improvement in skin crease depth, with 40.6% having postoperative symmetry with the contralateral eyelid. A sectoral droop, flattened and normal contour were seen in 12.9%, 22.9% and 58.1% post-surgery compared with 22.9%, 61.3% and 12.9% pre-surgery. The surgical revision rate was 16.1%, indications included: undercorrection (n=3), stitch granuloma (n=1) and wound dehiscence (n=1). All cases requiring revision surgery had undergone unilateral surgery with silicon rod. The open sky approach significantly improves upper eyelid height and pretarsal show. In addition, the depth and height of the skin crease are improved and in cases of both unilateral and bilateral surgery this technique produces good symmetry.

show abstract

Double Rhomboid Silicone Rod Frontalis Suspension

Cited by 39 publications

References 0 publications

Long-term follow-up of ptosis correction using Mersilene mesh

Long-term follow-up of ptosis correction using Mersilene mesh

A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

The open sky approach to brow suspension surgery

Contact Info

Product

Resources

About