| Stability of silicone band frontalis suspension for the treatment of severe unilateral upper eyelid ptosis in infants. | |
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MedLine Citation:
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PMID: 18850549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To address the efficacy, safety, and stability of frontalis suspension of the upper eyelid with a silicone band for the treatment of severe congenital ptosis in infants. METHODS: Data from 22 pediatric patients undergoing unilateral frontalis suspension with silicone band were retrospectively reviewed with a follow-up ranging from 18 to 30 months. The margin-reflex distance (MRD) and the corneal staining had been evaluated at each pre- and postoperative visit. Data were analyzed by analysis of variance and t test for paired data. RESULTS: MRD was absent before surgery in all cases: it ranged from -1 mm to -4 mm (-2.4+/-0.8 mm). Immediately after surgery, it increased to 2.9+/-0.3 mm, and then progressively reduced by 0.6 mm within the first 3 months (p=0.001); a further reduction of 0.2 mm, occurring between 3 and 12 months after surgery, was not statistically significant. After the 12-month visit, no changes in MRD were found at follow-up for any patient. Corneal staining, which was present in five patients over the first 2 postoperative weeks, recovered without sequelae. Complications occurred in three eyes: overcorrection and corneal ulcer in one case requiring removal of the silicone band, one granuloma, and one extrusion of the silicone band from the upper frontal incision. CONCLUSIONS: During the study period, the frontalis suspension with a silicone band was an effective and safe procedure. MRD values were stable between month 3 and the end of follow-up, although this series does not preclude the possible occurrence of blepharoptosis at longer time intervals. |
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Authors:
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P Fogagnolo; M Serafino; P Nucci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of ophthalmology Volume: 18 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2008 Sep-Oct |
Date Detail:
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Created Date: 2008-10-13 Completed Date: 2008-10-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
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Languages: eng Pagination: 723-7 Citation Subset: IM |
Affiliation:
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G.B. Bietti Foundation-IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico), Roma - Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blepharoplasty
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methods* Blepharoptosis / congenital, physiopathology, surgery* Eyelids / physiopathology, surgery Female Humans Infant Male Oculomotor Muscles / surgery* Retrospective Studies Silicone Elastomers* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Silicone Elastomers |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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