Correction of blepharophimosis with silicone implant suspensor

Plastic and Reconstructive Surgery
Henri FriedhoferMarcus Castro Ferreira

Abstract

Blepharophimosis is a rare autosomal-dominant syndrome involving the periorbital region. It is characterized mainly by eyelid ptosis, palpebral phimosis, telecanthus, and epicanthus inversus. Ten patients ranging in age from 2 to 22 years who presented with blepharophimosis were retrospectively studied over the past 14 years; they had an average follow-up of 7 years and 5 months. They were treated at the Division of Plastic Surgery of the Faculty of Medicine, University of São Paulo. Eight patients presented with the complete form, including epicanthus, telecanthus, and severe palpebral ptosis, and two presented with the incomplete form. The epicanthi and telecanthi were corrected with Mustardé's technique, and the ptosis was treated by frontalis suspension with a soft, preformed silicone device called the silicone implant suspensor. The results were classified as good, fair, and poor, according to the postoperative position of the upper eyelid in relation to the scleral limbus, medial canthus position, and residual epicanthal fold. The results were assessed as good in seven cases and fair in three. The silicone eyelid suspensor was effective in improving the patients' difficult condition. It was a better alternative than the u...Continue Reading

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Citations

Feb 12, 2009·Aesthetic Plastic Surgery·Huiyan LiYin Qin
Apr 2, 2011·Aesthetic Plastic Surgery·Roberto SebastiáMarcelo Palis Ventura
Nov 28, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A Ozlem GundesliogluMehmet Bekerecioglu
Apr 23, 2008·International Ophthalmology Clinics·Calliope E Allen, Peter A D Rubin
May 3, 2013·Annals of Plastic Surgery·Dae Hwan ParkYong Jig Lee
Nov 20, 2009·European Journal of Ophthalmology·Tamer I GawdatHesham F Kamel
May 19, 2016·The Journal of Craniofacial Surgery·Kun Hwang, Hun Kim
Dec 7, 2020·Journal français d'ophtalmologie·N Ben AbdesslemH Mahjoub

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