Surgical treatment of severe congenital ptosis using deep temporal fascia

Petroni, Sergio; Capozzi, P.; Parrilla, Rosa; Zinzanella, G.; Buzzonetti, Luca

doi:10.1080/01676830.2018.1528617

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparison with the present study; we used a distensible material for the sling, and Whitehouse et al [26] used fascia lata, which is much more restrictive. One of the etiologies for the difference of success rate and complications in various materials of frontalis sling procedure is related to the mentioned etiology [4][5][6][7]9,11,15,[23][24][25] . However, in the present study, no secondary corrective surgery was required for any of the patients, and we concluded that TCMLR results are similar with frontalis sling in severe unilateral congenital ptosis with poor LF.…”

Section: Severe Unilateral Congenital Ptosis With Poor Levator Functionmentioning

confidence: 99%

“…S evere unilateral congenital ptosis with poor levator function (LF) is the most challenging category of congenital ptosis varieties [1][2] . Frontalis sling is the choice procedure for congenital ptosis with poor LF, which could be performed by different materials such as silicone rod, sutures, frontalis muscle flap, temporalis fascia, fascia lata and etc [1,[3][4][5][6][7][8][9][10][11][12][13][14][15] . Although unilateral ptosis frontalis sling surgery does not achieve perfect eyelid function and cosmetic appearance as well as bilateral ones [3] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Severe unilateral congenital ptosis with poor levator function: tarsoconjunctival mullerectomy plus levator resection vs frontalis sling procedure

Kasaee¹,

Najafi²,

Jamshidian-Tehrani³

2022

Int J Ophthalmol

View full text Add to dashboard Cite

AIM: To compare frontalis sling and tarsoconjunctival mullerectomy plus levator resection (TCMLR) in subjects with severe unilateral congenital ptosis with poor levator function (LF). METHODS: A prospective non-randomized non-blinded single center clinical trial. Fifty patients with severe unilateral congenital ptosis with poor LF were recruited. The frontalis sling and TCMLR were performed and the functional, cosmetic outcomes, complications, and success rate were evaluated at 1, 3, and 6mo postoperatively. The t-test, Chi-square, Fishers exact, and nonparametric Mann-Whitney tests were used by SPSS software. RESULTS: Frontalis sling and TCMLR procedures were performed on 26 and 24 patients respectively. The mean age was 10.97±10.67y. LF was significantly better in the TCMLR group at months 1, 3, and 6 (P=0.002). Lagophthalmos was more common in the TCMLR group (no significant difference). At month 3, mild punctate epithelial erosions were observed more in the frontalis sling group (P=0.002). Significant complete success rate of 1st and 6th month for the frontalis sling vs TCMLR groups were 50% vs 20.8% (P=0.02), and 38.4% vs 50% (P=0.03) respectively. CONCLUSION: Complete success rate of TCMLR is higher in long-term follow-up in contrast with the frontalis sling in the short-term. Transient complications are more detected in mid-term follow-ups in both groups.

show abstract

Section: Severe Unilateral Congenital Ptosis With Poor Levator Functionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Severe unilateral congenital ptosis with poor levator function: tarsoconjunctival mullerectomy plus levator resection vs frontalis sling procedure

Kasaee¹,

Najafi²,

Jamshidian-Tehrani³

2022

Int J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…A "hood" can also be formed under the pretarsal and preseptal skin, delaying eyelid lowering in downgaze. Sling materials can be autogenous (fascia lata, temporalis fascia) 18 or nonautogenous. Nonautogenous can be integratable (Mersilene mesh, Gortex) and nonintegratable (prolene, silicone).…”

Section: Frontalis Slingmentioning

confidence: 99%

Management of Blepharoptosis update - A Review

Bhowmik

A.B.Shamsudduha

Jolly

et al. 2021

ZHSWMCJ

View full text Add to dashboard Cite

Blepharoptosis, or ptosis of the eyelid, refers to drooping of the upper eyelid .The condition is cosmetically noticeable even in the earliest stages .It usually results from a congenital or acquired abnormality of the muscles that elevate the eyelid. Ptosis may be the presenting sign or symptom of a serious neurologic disease. Regardless of the etiology, when ptosis obstructs vision, it is disabling. The appropriate management requires recognition of the underlying cause. we discuss the clinical approaches to the management of ptosis .This review article highlights the various aspects of ptosis evaluation and management.

show abstract