PMID: 9558666Apr 29, 1998Paper

Effectiveness of homologous cadaveric fascia lata and role of suture fixation to tarsus in frontalis suspension

Ophthalmic Plastic and Reconstructive Surgery
J A Mauriello, A Abdelsalam

Abstract

The results of frontalis suspension (double rhomboid technique with preserved homologous cadaver fascia) were compared in two surgical groups: 1) patients in whom the fascia was sutured to the tarsus and 2) patients in whom the fascia was not sutured to the tarsus. The study was performed to determine the optimum surgical technique and to determine whether preserved cadaver fascia is a suitable suspensory material. All data retrospectively reviewed included 1) predisposing cause of severe blepharoptosis, 2) results in the two groups of patients, suture fixation and nonsuture fixation, and 3) surgical complications. Of the 27 patients (36 eyelids), the fascia was sutured to the tarsus in 15 patients (20 eyelids) and not sutured to the tarsus in 12 patients (16 eyelids). In the suture fixation group, no undercorrections occurred, but four of 20 eyelids had lower than expected eyelid creases and six had residual dermatochalasis. Six patients had lagophthalmos with corneal exposure that required intense corneal lubrication, and three such patients required temporary tarsorrhaphy for 3 weeks. In the group without suture fixation, two patients had undercorrection (one with ocular cicatricial pemphigoid and the other with myotonic dys...Continue Reading

Citations

Feb 24, 2004·The British Journal of Ophthalmology·P MehtaJ M Olver
Jun 11, 2002·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Dobrica Jevtović
Feb 1, 2006·Acta Ophthalmologica Scandinavica·Nir SeiderSara A Kaltreider
Oct 11, 2005·American Journal of Ophthalmology·Guy J Ben SimonRobert A Goldberg
Oct 2, 2013·Korean Journal of Ophthalmology : KJO·Ji Young Suh, Hee Bae Ahn
Feb 29, 2020·Plastic Surgery·Ali Adawal AliMarwan Salah Salman
Apr 6, 2021·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Pawan AgarwalRajeev Kukrele

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