Fascia lata versus Silicone sling frontalis suspension for correction of congenital blepharoptosis

Khan, Afroz; Majid, Obaid; Wani, Junaid

doi:10.5455/ijmsph.2014.180320142

Cited by 3 publications

(3 citation statements)

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“…The study concluded that there was reliable correction of poor function of ptosis. 21 These studies coincide with our findings that this procedure is a reliable procedure, producing safe and effective results. Javaid et al studied the outcomes and complications of Frontalis suspension.…”

Section: Discussionsupporting

confidence: 89%

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Shamim¹,

Hayat²,

Cheema³

2021

Pak J Med Sci

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Objective: To assess the visual outcome after sling procedure using prolene sutures in children with simple congenital ptosis. Methods: A descriptive case series study was performed in the Department of Ophthalmology of Jinnah Post Graduate Medical Centre, for a duration of six months in which 20 patients aged 3-10 years were selected with either unilateral or bilateral congenital ptosis. They were thoroughly examined and visual acuity and degree of ptosis were measured pre-operatively. Frontalis sling surgery was performed using prolene sutures on all patients after which their visual acuity and degree of ptosis were measured once again after three months post-operatively. Data were analyzed using SPSS version 20.0. For qualitative variables, frequency and percentages were calculated. Mean and Standard deviation was commutated for the quantitative variable. Results: The mean age of the patients was 8.15±1.75. 11 (55%) male and 9 (45%) female participants were included in the study. Visual acuity improved in all the patients with all the patients attaining a visual acuity of 6/6 (n=12, 60%), 6/9 (n=7, 35%), and 6/12 (n=1, 5%). The degree of ptosis post-operatively was not found in any patient either. Conclusion: Sling procedure helped in eliminating ptosis and improved visual acuity in patients with simple congenital ptosis. doi: https://doi.org/10.12669/pjms.38.1.4359 How to cite this:Shamim N, Hayat N, Cheema A. Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4359 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 89%

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Shamim¹,

Hayat²,

Cheema³

2021

Pak J Med Sci

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“…It is a heterologous material that has been used in brow suspension surgery since 1986. 22 All three cases in our study were complicated with infection and granuloma. In 2001, Steinkogler reported that 5 out of 11 (45.5%) needed removal of Gore-Tex for suspected infection.…”

Section: Discussionmentioning

confidence: 61%

Outcome of frontalis suspension surgery in pediatric ptosis

Khialdin¹,

Martin²,

Jones³

et al. 2019

Asian JO

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Purpose: To describe the outcome of pediatric ptosis surgery using frontalis suspension technique. Design: Retrospective study. Methods: All patients with ptosis who underwent frontalis suspension from April 2009 to April 2014 at the Children’s Hospital at Westmead were included. Medical records of patients were reviewed and analyzed. Results: A total of 55 patients (74 primary procedures) were included in the study. Sixty-eight procedures (91.9%) used silicone as frontalis suspension material, three procedures used Gore-Tex, and three procedures used fascia lata. For procedures using silicone, the recurrence rate was 10.29%; 4.41% had infection and 1.47% had exposure keratopathy. All three procedures using Gore-Tex developed postoperative infection. No postoperative complication was documented in all the three procedures using fascia lata. Conclusion: A change in the practice from using banked fascia lata to silicone as frontalis suspension material is seen at the Children’s Hospital at Westmead. The postoperative complications and recurrence rate in procedures using silicone are relatively low. Autologous fascia lata could be considered as an alternative for older children in view of its long-term success rate and fewer complications.

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“…Among synthetic materials, silicon rod is readily available but reports of recurrence, extrusion and granuloma formation are found in literature. 7 In our study, in 24 patients, fascia lata was harvested and in 35 patients, silicon rod was used to suspend tarsal plate to frontalis muscle to correct congenital ptosis.…”

Section: Discussionmentioning

confidence: 95%

Frontalis Sling Operation using Silicone Rod Compared with Autogenous Fascia Lata for Simple Congenital Ptosis

2014

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Introduction: To evaluate the cosmetic results and recurrence of unilateral frontalis sling surgery using a silicone rod compared with autogenous fascia lata in cases of simple congenital ptosis. Methods: This is a retrospective comparative study of 59 patients who underwent a frontalis sling operation for congenital ptosis. Patients were divided into two groups according to the sling material used; an autogeneous fascia lata (fl) group (n = 24) and a silicone rod group (sl) (n = 35). Cosmetic results and recurrence rates were compared between these 2 groups. The cosmetic results of the frontalis sling operation were assessed as good, fair, or poor based on the difference between the Margin Reflex Distance of both eyelids and graded as good if the difference in two eyes was ≤1mm and poor if it was 2mm or more. Recurrence was defined as the conversion of the cosmetic result from good or fair to poor category. Results: At postoperative day seven and 30, MRD of both the groups were good but on three months follow-up MRD of silicon rod group dropped, however it was not statistically significant .Lid contour was good in both the groups, however, lid symmetry was poor in two cases of fascia lata at three months follow-up. Repeat surgery for poor outcome was done in 8.6% of cases in silicon rod and 8.3% of fascia lata group. Conclusions: The frontalis sling operation using either a silicone rod or autogenous fascia lata showed equally good cosmetic results and lower recurrence rate at three months follow up. Keywords: congenital ptosis; fascia lata; frontalis sling surgery; margin reflex distance; silicone rod.

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Fascia lata versus Silicone sling frontalis suspension for correction of congenital blepharoptosis

Cited by 3 publications

References 0 publications

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Postoperative Visual Outcome: Sling procedure with prolene sutures in children with simple congenital ptosis

Outcome of frontalis suspension surgery in pediatric ptosis

Frontalis Sling Operation using Silicone Rod Compared with Autogenous Fascia Lata for Simple Congenital Ptosis

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