Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis

Hsi-Wei Chung,1,2 Lay Leng Seah1,2,3 1Department of Ophthalmology, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, 3Department of Clinical Sciences, Duke-NUS Graduate Medical School, SingaporePurpose: Cosmetic and functi...

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Autores principales: Chung HW, Seah LL
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Lenguaje:EN
Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:5607056534014426a67e84c512c1ab702021-12-02T00:37:01ZCosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis1177-5483https://doaj.org/article/5607056534014426a67e84c512c1ab702016-09-01T00:00:00Zhttps://www.dovepress.com/cosmetic-and-functional-outcomes-of-frontalis-suspension-surgery-using-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hsi-Wei Chung,1,2 Lay Leng Seah1,2,3 1Department of Ophthalmology, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, 3Department of Clinical Sciences, Duke-NUS Graduate Medical School, SingaporePurpose: 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.Keywords: fascia lata, silicone rod, congenital ptosis, frontalis suspensionChung HWSeah LLDove Medical PressarticleFascia LataSilicone RodCongenital PtosisFrontalis SuspensionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1779-1783 (2016)
institution DOAJ
collection DOAJ
language EN
topic Fascia Lata
Silicone Rod
Congenital Ptosis
Frontalis Suspension
Ophthalmology
RE1-994
spellingShingle Fascia Lata
Silicone Rod
Congenital Ptosis
Frontalis Suspension
Ophthalmology
RE1-994
Chung HW
Seah LL
Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
description Hsi-Wei Chung,1,2 Lay Leng Seah1,2,3 1Department of Ophthalmology, Singapore National Eye Centre, 2Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, 3Department of Clinical Sciences, Duke-NUS Graduate Medical School, SingaporePurpose: 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.Keywords: fascia lata, silicone rod, congenital ptosis, frontalis suspension
format article
author Chung HW
Seah LL
author_facet Chung HW
Seah LL
author_sort Chung HW
title Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
title_short Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
title_full Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
title_fullStr Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
title_full_unstemmed Cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
title_sort cosmetic and functional outcomes of frontalis suspension surgery using autologous fascia lata or silicone rods in pediatric congenital ptosis
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/5607056534014426a67e84c512c1ab70
work_keys_str_mv AT chunghw cosmeticandfunctionaloutcomesoffrontalissuspensionsurgeryusingautologousfascialataorsiliconerodsinpediatriccongenitalptosis
AT seahll cosmeticandfunctionaloutcomesoffrontalissuspensionsurgeryusingautologousfascialataorsiliconerodsinpediatriccongenitalptosis
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