Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis

Amr M Awara, Osama E Shalaby Ophthalmology Department, Tanta University, Tanta, EgyptCorrespondence: Amr M AwaraOphthalmology Department, Tanta University, Tanta, EgyptEmail amrawara@gmail.comPurpose: The study aims at evaluating eyebrow elevation as a prognostic factor for frontalis sling procedure...

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Autores principales:	Awara AM, Shalaby OE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	frontalis suspension congenital ptosis brow elevation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/03a0540fe10b484da15ba6d717d4d2b6
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spelling	oai:doaj.org-article:03a0540fe10b484da15ba6d717d4d2b62021-12-02T12:21:48ZEyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis1177-5483https://doaj.org/article/03a0540fe10b484da15ba6d717d4d2b62020-05-01T00:00:00Zhttps://www.dovepress.com/eyebrow-elevation-as-a-prognostic-factor-for-success-of-frontalis-susp-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Amr M Awara, Osama E Shalaby Ophthalmology Department, Tanta University, Tanta, EgyptCorrespondence: Amr M AwaraOphthalmology Department, Tanta University, Tanta, EgyptEmail amrawara@gmail.comPurpose: The study aims at evaluating eyebrow elevation as a prognostic factor for frontalis sling procedure success in patients suffering from severe congenital ptosis with poor levator function.Patients and Methods: This is a retrospective study that included 66 eyelids of 57 patients selected from a surgical log database between January 2016 and June 2019. All of them underwent frontalis suspension surgery for treating severe congenital myogenic ptosis with poor levator function. Based on the absence or presence of brow elevation, patients were divided into two groups: 1 and 2, respectively. The latter was further subdivided into subgroup A with unilateral brow elevation and subgroup B with bilateral brow elevation. All included cases completed 6 months of follow-up after surgery. Postoperative functional outcomes in the form of margin reflex distance (MRD1) and palpebral aperture (PA) were recorded and correlated to preoperative brow elevation status.Results: Both principal groups showed improvement of MRD1 and PA compared to the preoperative values. There was no statistically significant difference between both groups for the tested parameters in the 1st postoperative week. By the 6th postoperative month, MRD1 and PA showed statistically significant higher values in group 2 compared to group 1 (p< 0.001). However, the difference between subgroups A and B was statistically insignificant for the same parameters.Conclusion: Eyebrow elevation is significantly associated with the success of frontalis suspension procedure. Hence, brow position evaluation should be included in the preoperative assessment of patients undergoing frontalis suspension for congenital ptosis.Keywords: frontalis suspension, congenital ptosis, brow elevationAwara AMShalaby OEDove Medical Pressarticlefrontalis suspensioncongenital ptosisbrow elevationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1343-1348 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	frontalis suspension congenital ptosis brow elevation Ophthalmology RE1-994
spellingShingle	frontalis suspension congenital ptosis brow elevation Ophthalmology RE1-994 Awara AM Shalaby OE Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
description	Amr M Awara, Osama E Shalaby Ophthalmology Department, Tanta University, Tanta, EgyptCorrespondence: Amr M AwaraOphthalmology Department, Tanta University, Tanta, EgyptEmail amrawara@gmail.comPurpose: The study aims at evaluating eyebrow elevation as a prognostic factor for frontalis sling procedure success in patients suffering from severe congenital ptosis with poor levator function.Patients and Methods: This is a retrospective study that included 66 eyelids of 57 patients selected from a surgical log database between January 2016 and June 2019. All of them underwent frontalis suspension surgery for treating severe congenital myogenic ptosis with poor levator function. Based on the absence or presence of brow elevation, patients were divided into two groups: 1 and 2, respectively. The latter was further subdivided into subgroup A with unilateral brow elevation and subgroup B with bilateral brow elevation. All included cases completed 6 months of follow-up after surgery. Postoperative functional outcomes in the form of margin reflex distance (MRD1) and palpebral aperture (PA) were recorded and correlated to preoperative brow elevation status.Results: Both principal groups showed improvement of MRD1 and PA compared to the preoperative values. There was no statistically significant difference between both groups for the tested parameters in the 1st postoperative week. By the 6th postoperative month, MRD1 and PA showed statistically significant higher values in group 2 compared to group 1 (p< 0.001). However, the difference between subgroups A and B was statistically insignificant for the same parameters.Conclusion: Eyebrow elevation is significantly associated with the success of frontalis suspension procedure. Hence, brow position evaluation should be included in the preoperative assessment of patients undergoing frontalis suspension for congenital ptosis.Keywords: frontalis suspension, congenital ptosis, brow elevation
format	article
author	Awara AM Shalaby OE
author_facet	Awara AM Shalaby OE
author_sort	Awara AM
title	Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
title_short	Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
title_full	Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
title_fullStr	Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
title_full_unstemmed	Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis
title_sort	eyebrow elevation as a prognostic factor for success of frontalis suspension in severe congenital ptosis
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/03a0540fe10b484da15ba6d717d4d2b6
work_keys_str_mv	AT awaraam eyebrowelevationasaprognosticfactorforsuccessoffrontalissuspensioninseverecongenitalptosis AT shalabyoe eyebrowelevationasaprognosticfactorforsuccessoffrontalissuspensioninseverecongenitalptosis
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Eyebrow Elevation as a Prognostic Factor for Success of Frontalis Suspension in Severe Congenital Ptosis

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