Long-Term Results of Frontalis Suspension Using Irradiated, Banked Fascia Lata

Esmaeli, Bita; Chung, Hans T.; Pashby, Robert C.

doi:10.1097/00002341-199805000-00002

Cited by 60 publications

(38 citation statements)

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“…Since the harvesting of fascia lata is a time-consuming procedure that involves donor site morbidity, the use of banked fascia lata has been reported by Esmaeli [7]. However, as the rate of reoperation is higher than that reported for autogenous fascia lata, we prefer this last one.…”

Section: Discussionmentioning

confidence: 97%

Surgical correction of ptosis in chronic progressive external opthalmoplegia

et al. 2011

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Section: Discussionmentioning

confidence: 97%

Surgical correction of ptosis in chronic progressive external opthalmoplegia

et al. 2011

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“…[1][2][3][4][5][6][7][8][9][10][11][12]17,18 We measured the MRD with the eyelid(s) 'at rest'. This provides an objective, albeit conservative, outcome measure.…”

Section: Discussionmentioning

confidence: 99%

“…[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%

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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“…Considering our results with previous reports in the literature, we believe that patients with mild to moderate blepharophimosis syndrome (IPFH more than 2 mm) will benefit from the one-stage operation. 14,15,30,35 Depending on the statistical analysis, patients with mild to moderate ptosis usually had milder blepharophimosis. For patients with clear visual axes, corrective surgery could wait until 3-5 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…Donor fascia lata provides a reasonable alternative material for frontalis suspension and does not have some of the disadvantages of synthetic materials, such as extrusion, granuloma formation, and infection. [28][29][30] The early stage, all patients underwent suggested that anterior levator resection can be used for all types of congenital ptosis, and especially in severe ptosis. In addition, Mauriello et al 25 in 1985 described maximal levator resection is indicated for severe congenital ptosis and poor to absent levator function.…”

Section: Eyementioning

confidence: 99%

One-stage correction for blepharophimosis syndrome

Wang

et al. 2006

Eye

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Purpose To classify the severity of blepharophimosis, describe associated features and their effects on the incidence of amblyopia and to recommend guidelines for surgical treatment and management of surgical complications. Methods The case records of 23 patients with blepharophimosis syndrome were examined retrospectively. Patients' photographs and measurements were reviewed to analyse the severity of blepharophimosis, surgical techniques undertaken, surgical outcomes, and complications. Statistical analyses were performed using paired-sample t-tests to evaluate the surgical outcome and Spearman correlation to examine the influence of blepharophimosis on the interpalpebral fissure height (PFH). Results Eighteen out of 23 (78%) patients underwent one-stage surgery before the age of 5 years. About 31% of these patients had amblyopia. Only two patients had a blepharophimosis ratio greater than 1.5 as poor result. Two out of 18 (11%) patients with PFHs more than 2 mm needed a repeat operation, but all five (100%) patients with s less than 2 mm (very severe ptosis) needed repeat operations. Conclusions The one-stage corrective procedure provided acceptable results both in function and cosmesis. However, patients with very severe ptosis required multiple stages of reconstruction for ptosis correction at an earlier age, after which correction of telecanthus and small horizontal palpebral fissure length followed at an older age.

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Long-Term Results of Frontalis Suspension Using Irradiated, Banked Fascia Lata

Cited by 60 publications

References 0 publications

Surgical correction of ptosis in chronic progressive external opthalmoplegia

Surgical correction of ptosis in chronic progressive external opthalmoplegia

Prolene frontalis suspension in paediatric ptosis

One-stage correction for blepharophimosis syndrome

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