Mersilene mesh brow suspension: A new modified fox′s procedure - five years clinical experience

Abstract

Purpose:The aiming was to study the long-term clinical outcome and the merit of the author's modification of the fox's procedure.Methods:Mersilene mesh brow suspension (MMBS) procedure was performed in 50 upper lids with severe blepharoptosis and poor levator function.Results:The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm). The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.Conclusion:In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

Suspensory Materials for Surgery of Blepharoptosis: A Systematic Review of Observational Studies

“…At the end of the process, 48 publications meeting the eligibility criteria were selected for review ( Fig 1 ). The number of studies included for Fascia Lata were 19 [ 10 – 28 ], for Mersilene 12 [ 29 , 30 , 22 , 31 , 32 , 25 , 33 – 38 ], for PTFE 5 [ 39 – 41 , 26 , 42 ] and for Silicon 17 [ 43 – 52 , 13 , 53 , 54 , 20 , 55 – 57 ].…”

“…Table 1 shows characteristics of the studies included [ 15 , 29 , 30 , 32 , 34 – 36 , 38 – 41 , 51 ]. The time range of the selected studies was 1990[ 38 ]-2015[ 35 ].…”

“…A meta-regression analysis for the two main outcomes (SSs and overall rate of complications) was performed on all studies included and separately on studies evaluating Fascia Lata and Silicone ( S1 Fig ). The number of studies evaluating PTFE (5) [ 26 , 39 – 42 ] and Mersilene (12) [ 29 , 30 , 22 , 31 , 32 , 25 , 33 – 38 ] did not allow to perform the meta-regression in these groups. The year of publication, the mean age of the sample, the proportion of male among patients, the mean follow-up and the quality of the studies were used as covariates in the analysis.…”

“…Naugle and coworkers previously reported a favorable outcome using Fascia Lata in two 3-year-old patients and in a 2-year-old child affected by congenital ptosis [ 60 ]. However, despite its highest biocompatibility and the lowest rate of sling extrusion [ 30 , 34 , 35 ], Fascia Lata is difficult to harvest in infants, and the possibility of permanent thigh scars makes it an unattractive choice to the parents [ 10 , 33 , 63 ].…”

Infected ptosis surgery – a rare complication from a multidrug-resistant organism

“…A right eye frontalis sling procedure with modified Fox’s pentagon method 4 was done using Gore-tex material in Selayang Hospital, Malaysia. There was no intraoperative or immediate postoperative complication.…”