Mersilene Mesh as an Alternative to Autogenous Fascia Lata in Brow Suspension

Kemp, Ewan; MacAndie, Kerr

doi:10.1097/00002341-200111000-00006

Cited by 24 publications

(25 citation statements)

References 11 publications

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“…Mutlu et al 15 reported a rate of 6.3% for granuloma formation. Kemp and MacAndie 16 reported only a single case with extrusion of mesh because of infection. These authors otherwise found a long-term acceptable level of lid position with this material.…”

Section: Discussionmentioning

confidence: 99%

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

Sharma

Willshaw

2003

Eye

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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.

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Section: Discussionmentioning

confidence: 99%

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

Sharma

Willshaw

2003

Eye

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“…It is also preferred when AFL is not available as in very young children with short legs. 4 15 16 The use of Mersilene mesh as an alternative material in frontalis suspension surgery was described by Downes and Collin in 1989 5 and others [6][7][8][9][10][11][12][13][14] have discussed its use. Mersilene is a sterile wrapped polyester fibre.…”

mentioning

confidence: 99%

“…It has good tensile strength and forms a permanent scaffold for fibrovascular tissue ingrowth, and hence good long term functional results. [5][6][7][8][9][10][11][12][13][14] Materials for frontalis suspension should have good long term results with a low complication rate. Human sclera, banked fascia lata, expanded poly(tetrafluoroethylene) (ePTFE or Gore-Tex), braided polyester, monofilaments, and silicone rod have also been used.…”

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confidence: 99%

Functional results and complications of Mersilene mesh use for frontalis suspension ptosis surgery

Mehta

2004

British Journal of Ophthalmology

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“…[2][3][4][5][6][7][8][9] Some centres also recommend the mesh be soaked in antibiotics prior to insertion, but this is not regarded as mandatory.…”

Section: Commentmentioning

confidence: 99%

“…1 The ends of the mesh are secured by a suture or knot, which must be well buried in the forehead. [2][3][4][5][6][7][8][9] The complication rate from extrusion, granuloma, and/or infection ranges from 0 to 35%. [2][3][4][5][6][7][8][9] We report three cases ( Figure 1) referred to an oculoplastic service for management of chronic extrusion and infection of the Mersilene s mesh, where the mesh was excessively bulky and/or the soft tissue thin.…”

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confidence: 99%

Management of Mersilene® mesh chronic eyelid complications: a systematic approach

Mehta

Patel

Olver

2004

Eye

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Background Mersilene mesh (polyester fibre) is commonly used in ptosis surgery for frontalis suspension as it is readily available and cheap. Management of extrusion can be challenging. We report three cases of extrusion where extremely thick mesh or extremely thin tissue may have contributed to the extrusion. Methods Retrospective case note study of three adult patients who developed chronic mesh extrusion. Results Extrusion and chronic infection occured 5-12 months after surgery. Despite systemic antibiotics, all three patients required surgical excision of mesh from the eyelid up to the brow, which was curative. Conclusion These cases illustrate the need for a systematic approach and the need in some cases to excise the mesh to prevent recurrent infection.

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Mersilene Mesh as an Alternative to Autogenous Fascia Lata in Brow Suspension

Abstract: Mersilene mesh has advantages over other materials for use as a suspensory material in brow suspension surgery, and is associated with a good outcome and low complication rate.

Cited by 24 publications

References 11 publications

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

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

Functional results and complications of Mersilene mesh use for frontalis suspension ptosis surgery

Management of Mersilene® mesh chronic eyelid complications: a systematic approach

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