scholarly journals Frontalis muscle flap as sling in severe ptosis

2014 ◽  
Vol 13 (3) ◽  
pp. 95-100
Author(s):  
Ramesh C. Nagpal ◽  
Ashima Grover ◽  
Amit Maitreya ◽  
Harsh Baradur
Keyword(s):  
Satisfactory Result ◽  
Muscle Flap ◽  
Effective Procedure ◽  
Common Complication ◽  
Congenital Ptosis ◽  
Frontalis Muscle ◽  
Sling Surgery

Aim: Evaluation of the effect of frontalis muscle flap as sling surgery in severe ptosis with poor levator palpebral superioris (LPS) action.Method: Twenty-five eyes of 18 patients with severe congenital ptosis with poor LPS action were studied over a period of two years. It comprised of 13 eyes of 13 patients of severe unilateral congenital ptosis and ten eyes of five patients with ptosis associated with blepharophimosis syndrome. All patients underwent frontalis muscle flap sling surgery and were followed for six months.Result: At final follow up, 88% of patients had a satisfactory result. No patients required re-surgery. Lagophthalmos was the most common complication seen which subsided by six months. The surgical lid elevation was effective without any recurrence or complete failure.Conclusion: Frontalis muscle flap sling surgery is an effective procedure for severe ptosis with poor LPS action.

Treatment of Congenital Ptosis in Infants With Associated Amblyopia Using a Frontalis Muscle Flap Eyelid Reanimation Technique

2020 ◽  
Vol 37 (1) ◽  
pp. 67-71
Author(s):  
Emily A. Eton ◽  
Anaïs L. Carniciu ◽  
Shreya S. Prabhu ◽  
Grace M. Wang ◽  
Alon Kahana
Keyword(s):  
Muscle Flap ◽  
Congenital Ptosis ◽  
Frontalis Muscle

Frontalis Muscle Flap Versus Maximal Anterior Levator Resection as First Option for Patients With Severe Congenital Ptosis

2018 ◽  
Vol 34 (6) ◽  
pp. 565-569 ◽  
Author(s):  
Ramón Medel ◽  
Salvador Molina ◽  
Luz Maria Vasquez ◽  
Josep Visa ◽  
Ana Wert ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Congenital Ptosis ◽  
Frontalis Muscle ◽  
Levator Resection

scholarly journals Frontalis Sling Operation using Silicone Rod Compared with Autogenous Fascia Lata for Simple Congenital Ptosis

2014 ◽  
Vol 52 (195) ◽  
pp. 897-901
Author(s):  
Purnima Rajkarnikar Sthapit ◽  
Rohit Saiju ◽  
Ben Limbu
Keyword(s):  
Fascia Lata ◽  
Recurrence Rates ◽  
Repeat Surgery ◽  
Congenital Ptosis ◽  
Cosmetic Results ◽  
Sling Surgery ◽  
Silicone Rod ◽  
The Difference ◽  
Retrospective Comparative Study

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 used; an autogeneous fascia lata (fl) group (n = 24) and a silicone rod group (sl) (n = 35). Cosmetic results and recurrence rates were compared between these 2 groups. The cosmetic results of the frontalis sling operation were assessed as good, fair, or poor based on the difference between the Margin Reflex Distance of both eyelids and graded as good if the difference in two eyes was ≤1mm and poor if it was 2mm or more. Recurrence was defined as the conversion of the cosmetic result from good or fair to poor category. Results: At postoperative day seven and 30, MRD of both the groups were good but on three months follow-up MRD of silicon rod group dropped, however it was not statistically significant .Lid contour was good in both the groups, however, lid symmetry was poor in two cases of fascia lata at three months follow-up. Repeat surgery for poor outcome was done in 8.6% of cases in silicon rod and 8.3% of fascia lata group. Conclusions: The frontalis sling operation using either a silicone rod or autogenous fascia lata showed equally good cosmetic results and lower recurrence rate at three months follow up.  Keywords: congenital ptosis; fascia lata; frontalis sling surgery; margin reflex distance; silicone rod.  

scholarly journals Comparative evaluation of conventional and modified frontalis muscle flap advancement techniques in the treatment of severe congenital ptosis: A retrospective cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246183
Author(s):  
Lei Zhang ◽  
Wenjuan Zhai ◽  
Lihong Yang ◽  
Chunhua Sun ◽  
Ye Pan ◽  
...  
Keyword(s):  
Cohort Study ◽  
Success Rate ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Muscle Flap ◽  
Conventional Group ◽  
Angular Deformity ◽  
Complication Rates ◽  
Congenital Ptosis ◽  
Frontalis Muscle

Purpose To introduce a modified frontalis muscle (FM) flap for use in FM flap advancement surgery and compare it with the conventional flap for correcting severe congenital ptosis. Methods This retrospective cohort study included 200 patients (278 eyes) with severe congenital ptosis treated with FM flap advancement at Tianjin Eye Hospital from April 2018 to October 2019. The patients were divided into two groups: 100 patients (138 eyes) in the conventional group and 100 patients (140 eyes) in the modified group. The success and complication rates were evaluated. Results The final success rate was 77.5% (107/138) in the conventional group and 90.0% (126/140) in the modified group (p = 0.005). Undercorrection was observed in 31 eyes (22.5%) in the conventional group and 14 eyes (10%) in the modified group (p = 0.005). In the conventional group, angular deformity of the upper eyelid was observed in 29 eyes (21.0%), FM paralysis in 11 (8.0%), frontal hypoesthesia in 10 (7.2%), severe hematoma in 12 (8.7%), and exposure keratitis in 8 (5.8%); these complications were not observed in the modified group (p <0.001, p <0.001, p = 0.004, p <0.001, p = 0.011, respectively). There were no cases of overcorrection, entropion or ectropion in either group. Conclusion Compared with the conventional FM flap, the modified FM flap in this study yielded a higher success rate with a clear field of vision, mild trauma, and few complications. This technique is simple and convenient for correcting severe congenital ptosis.

scholarly journals FRONTALIS SLING SURGERY USING SILICON ROD: RESULTS IN CONGENITAL UNILATERAL PTOSIS AMONG NORTH INDIAN POPULATION

2020 ◽  
Vol 3 (12) ◽  
Author(s):  
Uzma Choudhary ◽  
Shweta Sharma
Keyword(s):  
Indian Population ◽  
Surgical Repair ◽  
Palpebral Fissure ◽  
North Indian Population ◽  
Primary Position ◽  
Congenital Ptosis ◽  
Sling Surgery ◽  
The Difference ◽  
A Prospective Study

ABSTRACT Purpose: To evaluate the results after frontalis sling surgery in congenital unilateral ptosis. Methods: This was a prospective study which included 27 eyes of patients with congenital unilateral ptosis and fair to poor levator action (<8mm). A complete examination was performed including palpebral fissure height and width, lid-crease distance, margin reflex distance 1 (MRD 1) and margin reflex distance 2 (MRD 2), levator function. Fox pentagon technique was employed using silicon rod. Follow up was done at 2 weeks and at 3 months and based on the criteria recommended by Tarbet et al, the ptosis correction was catergorized into: ‘excellent’ if MRD1 measured more than 2mm or the difference in MRD1 between two eyelids was equal to or less than 1 mm, ‘good’ if MRD1 ranged from 1 to 2mm or if asymmetry was 1.5 to 2mm, and ‘poor’ if MRD1 measured less than 1 mm or if asymmetry was greater than 2mm in primary position of gaze. Results: A total of 27 eyelids of 27 patients underwent frontalis sling surgery with silicon rod. The correction was excellent in 20 patients (74%) on both first and second follow-up visits, shown in fig1. It was good in 5 patients (19%) and poor in 2 patients (7%) based on the above mentioned criteria. Lagophthalmos was present in all patients postoperatively which improved with time. Conclusion: This study shows that surgical repair using silicone sling is a safe and effective method of correcting congenital ptosis with poor to fair levator function.

Implant Complications in 20 Triple Pelvic Osteotomies

1993 ◽  
Vol 06 (04) ◽  
pp. 202-207 ◽  
Author(s):  
Cindy Fries ◽  
Audrey Remedios
Keyword(s):  
Postoperative Complication ◽  
Hip Dysplasia ◽  
Pelvic Osteotomy ◽  
Implant Failure ◽  
Screw Loosening ◽  
Common Complication ◽  
Implant Complications ◽  
Gait Abnormalities

SummaryIn 12 dogs with hip dysplasia, 20 triple pelvic osteotomies (eight bilateral and four unilateral) were performed. Screw loosening, occurring in six of 12 dogs (seven of 20 osteotomies), was the most common complication after surgery. Implants loosened from the cranial ilium in six hemipelvises (30%) and from both fragments in one hemipelvis, two to six weeks (mean — three) after the operation. Medial acetabular displace-ment caused pelvic narrowing (6 to 9%, mean = 8%) in three of four dogs. Medial ischial displacement decreased pelvic diameter (11 to 21%, mean = 17%) in four of seven osteotomies. All of the dogs with implant failure were treated conservatively with cage rest and in two cases Ehmer slings were used. Although none were lame, gait abnormalities were evident in three of seven dogs on follow-up examinations four to 12 months (mean = six) later.Screw loosening, occurring in seven of 20 hemipelvises, was the most common postoperative complication associated with triple pelvic osteotomy. Fixation failures were managed conservatively. Despite decreased pelvic diameter in four of seven animals, none were lame or showed signs of pelvic obstruction at follow-up examinations four to 12 months later.

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