Modified Frontalis Sling Procedure with Lid Crease Formation
نویسندگان
چکیده
PURPOSE To report the results of a modified frontalis sling procedure using Mersilene mesh for correction of upper lid ptosis associated with poor levator muscle function. METHODS This interventional case series included 10 patients (15 eyelids) with congenital ptosis and poor levator function. All subjects underwent the upper lid sling procedure with modifications. Main outcomes were lid crease height and position. RESULTS Overall, 15 eyelids from ten patients including 7 male and 3 female subjects underwent surgery. After a mean period of 10.2±2.8 months, all cases had symmetrical lid crease and contour; upper lid margin to corneal reflex distance and lid fissure were both increased significantly. CONCLUSION This modified frontalis sling procedure may be considered as an alternative to conventional surgery; this method provides good cosmesis and is associated with a low rate of reoperations.
منابع مشابه
Unilateral frontalis sling for the surgical correction of unilateral poor-function ptosis.
PURPOSE To evaluate the functional and cosmetic results after frontalis sling repair for unilateral ptosis associated with either poor levator function or synkinesis. METHODS Preoperative and postoperative photographs and records of 127 patients who underwent unilateral frontalis sling ptosis repair were retrospectively reviewed. An eyelid crease incision was used in all cases, with suturing ...
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Figure 1. Preoperative photograph demonstrating severe ptosis on the right lid with levator function less than 5 mm (measured by blocking the action of the frontalis muscle). The patient is contracting his right frontalis muscle to keep his right eyelid open. Normal levator function is 11 mm.
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