Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
نویسندگان
چکیده
PURPOSE Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata (FL) or silicone rods (SRs) in pediatric congenital ptosis. DESIGN Retrospective case series. STUDY SUBJECTS Patients with congenital ptosis, aged 18 years or younger, during the period under study (2005-2011) at the Singapore National Eye Centre. METHODS Review of case records for functional and cosmetic outcome measures after frontalis suspension surgery using either SRs or autologous FL. RESULTS A total of 18 patients were studied (14 eyelids had FL, 16 eyelids had SRs) with mean ages of 7.1 (range 5-12) and 7.2 (range 4-18) years for the FL and SR groups, respectively. Mean follow-up period was 41.6 (range 11.2-77.9) and 48.6 (16.1-87.4) months, respectively. Patients in the FL group had better functional and cosmetic results compared to those in silicone group, with no recurrence of ptosis. More complications were experienced by patients in the SR group. CONCLUSION Autologous FL for frontalis suspension remains an excellent choice for (and should be considered as useful surgical armamentarium for) repair of severe congenital ptosis.
منابع مشابه
Frontalis Sling Operation using Silicone Rod Compared with Autogenous Fascia Lata for Simple Congenital Ptosis.
INTRODUCTION To evaluate the cosmetic results and recurrence of unilateral frontalis sling surgery using a silicone rod compared with autogenous fascia lata in cases of simple congenital ptosis. METHODS This is a retrospective comparative study of 59 patients who underwent a frontalis sling operation for congenital ptosis. Patients were divided into two groups according to the sling material ...
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The search for the ideal material to be used in frontalis suspension procedures to correct congenital ptosis has been going on for many years and continues to this day. This makes me believe that perhaps there is no ideal suspensory material other than autogenous fascia lata. To add a little perspective on this problem, I reviewed a publication from 1984 in which, along with my co-editor Leonar...
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