2. Wagner RS, Mauriello JA, Nelson LB, Calhoun JH, Flanagan JC, Harley RD. Treatment of congenital ptosis with frontalis suspension: a comparison of suspensory materials. Ophthalmology. 1984;91:245-248.
3. Hersh D, Martin FJ, Rowe N. Comparison of silastic and banked fascia lata in pediatric frontalis suspension. J Pediatr Ophthalmol Strabismus. 2006;43:212-218.
4. Bajaj MS, Sastry SS, Ghose S, et al. Evaluation of polytetrafluoroethylene suture for frontalis suspension as compared to polybutylate-coated braided polyester. Clin Exp Ophthalmol. 2004;32:415-419.
5. Bernardini FP, de Conciliis C, Devoto MH. Frontalis suspension sling using a silicone rod in patients affected by myogenic blepharoptosis. Orbit. 2002;21(3):195-198.
6. van Sorge AJ, Devogelaere T, Sotodeh M, Wubbels R, Paridaens D. Exposure keratopathy following silicone frontalis suspension in adult neuro- and myogenic ptosis. Acta Ophthalmol. 2012;90:188-192.
7. Chan JB, Abdul Rahman N, Palani SK, Embong Z, Qamaruddin F. Infected ptosis surgery: a rare complication from multidrug-resistant organism. Clin Ophthalmol. 2015;9:721-724.
8. Wasserman BN, Sprunger DT, Helveston EM. Comparison of materials used in frontalis suspension. Arch Ophthalmol. 2001;119:687-691.
9. Junceda-Moreno J, Suβrez-Suβrez E, Dos-Santos-Bernardo V. Treatment of palpebral ptosis with frontal suspension: a comparative study of different materials [in Spanish]. Arch Soc Esp Oftalmol. 2005;80(8):457-461.
10. Fox SA. Congenital ptosis. II: frontal sling. J Pediatr Ophthalmol. 1966;3:25-28.
11. Grover AK, Malik S, Choudhury Z. Recent advances in lid orbital and lacrimal surgery. In: Garg A, Pandey SK, Chang DF, Papadopoulas PA, Maloof AJ, eds. Advances in Ophthalmology. Vol 2. New Delhi, India: Jaypee Brothers Medical Publishers (P) Ltd; 2005:713-716.
12. Kakaiya R, Miller WV, Gudino MD. Tissue transplant-transmitted infections. Transfusion. 1991;31:277-284.
13. Houff SA, Burton RC, Wilson RW, et al. Human-to-human transmission of rabies virus by corneal transplant. N Engl J Med. 1979;300:603-604.
14. Martínez-Lage JF, Poza M, Sola J, et al. Accidental transmission of Creutzfeldt-Jakob disease by dural cadaveric grafts. J Neurol Neurosurg Psychiatr. 1994;57:1091-1094.
15. Duffy P, Wolf J, Collins G, DeVoe AG, Streeten B, Cowen D. Possible person-to-person transmission of Creutzfeldt-Jakob disease. N Engl J Med. 1974;290:692-693.
16. Uchiyama K, Ishida C, Yago S, et al. An autopsy case of Creutzfeldt-Jakob disease associated with corneal transplantation. Dementia. 1994;8:466-473.
17. Choe JM, Bell T. Genetic material is present in cadaveric dermis and cadaveric fascia lata. J Urol. 2001;166:122-124.
18. Carter SR, Meecham WJ, Seiff SR. Silicone frontalis slings for the correction of blepharoptosis: indications and efficacy. Ophthalmology. 1996;103:623-630.
19. Tillet CW, Tillet GM. Silicone sling in the correction of ptosis. Am J Ophthalmol. 1996;62:521-523.
20. Lamont M, Tyers AG. Silicone sling allows adjustable ptosis correction in children and in adults at risk of corneal exposure. Orbit. 2010;29:102-105.
21. Bansal RK, Sharma S. Results and complications of silicone frontalis sling surgery for ptosis. J Pediatr Ophthalmol Strabismus. 2015;52:93-97.
22. Khan A, Majid O, Wani J. Fascia lata versus silicone sling frontalis suspension for correction of congenital blepharoptosis. Int J Med Sci Public Health. 2014;3:700-703.
23. Ali Z, Kazmi HS, Saleem MK, Shah AA. Silicon tube frontalis suspension in simple congenital blepharoptosis. J Ayub Med Coll Abbottabad. 2011;23:30-33.
24. Horng CT, Sun HY, Tsai ML. The impact of silicone frontalis Suspension with ptosis probe R for the correction of congenital ptosis on the Asian eyelids in Taiwan. Life Sci J. 2010;7:19-24.
25. Morris CL, Buckley EG, Enyedi LB, et al. Safety and efficacy of silicone rod frontalis suspension surgery for childhood ptosis repair. J Pediatr Ophthalmol Strabismus. 2008;45:280-288.
26. Simon GJB, Macedo AA, Schwarcz RM, et al. Frontalis suspension for upper eyelid ptosis: Evaluation of different surgical designs and suture material. Am J Ophthalmol. 2005;140:877-885.
27. Steinkogler FJ, Kuchar A, Huber E, Arocker- Mettinger E. Gore-Tex soft-tissue patch frontalis suspension technique in congenital ptosis and in blepharophimosis-ptosis syndrome. Plast Reconstr Surg. 1993;92:1057-1060.
- Abstract viewed - 129 times
- 392 PDF downloaded - 87 times
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Safinaz Mohd Khialdin, Frank J. Martin, Michael Jones, Craig Donaldson, 2019
Safinaz Mohd Khialdin
OPHTHALMOLOGY DEPARTMENT, FACULTY OF MEDICINE, UNIVERSITI KEBANGSAAN MALAYSIA MEDICAL CENTER
Frank J. Martin
Affiliation not stated
Affiliation not stated
Affiliation not stated
How to Cite
Outcome of frontalis suspension surgery in pediatric ptosis
Vol 16 No 4 (2019): Asian Journal of Opthalmology
Submitted: Oct 13, 2016
Published: Nov 23, 2019
Purpose: To describe the outcome of pediatric ptosis surgery using frontalis suspension technique.
Design: Retrospective study.
Methods: All patients with ptosis who underwent frontalis suspension from April 2009 to April 2014 at the Children’s Hospital at Westmead were included. Medical records of patients were reviewed and analyzed.
Results: A total of 55 patients (74 primary procedures) were included in the study. Sixty-eight procedures (91.9%) used silicone as frontalis suspension material, three procedures used Gore-Tex, and three procedures used fascia lata. For procedures using silicone, the recurrence rate was 10.29%; 4.41% had infection and 1.47% had exposure keratopathy. All three procedures using Gore-Tex developed postoperative infection. No postoperative complication was documented in all the three procedures using fascia lata.
Conclusion: A change in the practice from using banked fascia lata to silicone as frontalis suspension material is seen at the Children’s Hospital at Westmead. The postoperative complications and recurrence rate in procedures using silicone are relatively low. Autologous fascia lata could be considered as an alternative for older children in view of its long-term success rate and fewer complications.