Document Detail


Prolene frontalis suspension in paediatric ptosis.
MedLine Citation:
PMID:  21378994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this study was to assess the efficacy of frontalis suspension using 4-0 prolene sutures for paediatric ptosis with poor levator function.
PATIENTS AND METHODS: A retrospective chart review was performed on children who underwent 4-0 prolene frontalis suspension from 2000 to 2008 with a minimum of 6 months' follow-up. Functional success was defined when three criteria were met: (a) satisfactory lid height (defined as margin-to-reflex distance ≥3 mm with minimal frontalis muscle tone); (b) satisfactory lid symmetry (≤2 mm asymmetry in margin-to-reflex distance); and (c) satisfactory cosmesis. Recurrence was defined by a drop in lid height of ≥3 mm from the initial post-operative level.
RESULTS: A total of 23 patients (30 eyelids) were included. The mean follow-up duration was 28.7 months (range 6.3 to 100 months). The functional success rate was 74% (17/23 patients). Ptosis recurred in 22% (5/23) of patients. Only one patient (4%) developed a complication: a case of minor wound infection.
CONCLUSIONS: In paediatric ptosis with poor levator function, prolene frontalis suspension has good efficacy and an excellent safety profile. The results of prolene frontalis suspension are comparable to those of other non-autogenous materials.
Authors:
K Chow; N Deva; S G J Ng
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Publication Detail:
Type:  Journal Article     Date:  2011-03-04
Journal Detail:
Title:  Eye (London, England)     Volume:  25     ISSN:  1476-5454     ISO Abbreviation:  Eye (Lond)     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-09     Completed Date:  2011-09-08     Revised Date:  2012-09-18    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  735-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Waikato Hospital, Hamilton, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Blepharoptosis / surgery*
Child
Child, Preschool
Eyelids / surgery*
Female
Follow-Up Studies
Humans
Infant
Male
Polypropylenes*
Recurrence
Retrospective Studies
Suture Techniques*
Chemical
Reg. No./Substance:
0/Polypropylenes
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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