Results of levator excision followed by fascia lata brow suspension in patients with congenital and jaw-winking ptosis

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Carolyn A Cates, Anthony G Tyers

Abstract

The purpose of the study was to examine the results of frontalis brow suspension after levator excision in patients with ptosis, and to determine whether satisfactory cosmetic results can be achieved with this procedure. A retrospective case notes review of 13 patients (21 lids) undergoing levator weakening and frontalis brow suspension using autogenous fascia lata was performed. Seven patients (14 lids) were affected by the Marcus Gunn jaw-winking phenomenon. These had bilateral levator muscle excision. Five patients (5 lids) had unilateral congenital levator dystrophy (isolated congenital ptosis) with poor levator function. These had levator muscle excision on the normal side only. One patient (2 lids) had congenital aberrant regeneration of the third nerve. This patient had bilateral levator muscle excision. A successful result in terms of lid height was defined as a lid height within 1 mm of the desired height. During the first post-operative month, 11 out of 21 lids were undercorrected by more than 1 mm, whilst 10 achieved a satisfactory lid height. At subsequent follow-up visits, 18 lids were within 1 mm of the desired height and only 3 lids of 2 patients remained undercorrected by more than 1 mm and required further surg...Continue Reading

References

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Apr 15, 2004·Ophthalmic Plastic and Reconstructive Surgery·Jeremy D Bowyer, Timothy J Sullivan

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Citations

Jun 1, 2014·International Ophthalmology Clinics·Yvette M Jockin
Mar 16, 2017·Seminars in Ophthalmology·Riccardo GazzolaFranz Wilhelm Baruffaldi Preis
Jul 25, 2013·Ophthalmic Plastic and Reconstructive Surgery·Rachel K Sobel, Richard C Allen
Aug 9, 2013·Current Opinion in Ophthalmology·Francesco P BernardiniAlessandra Zambelli
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Debraj ShomeRinky Kapoor
Dec 15, 2020·Korean Journal of Ophthalmology : KJO·Salil Kumar MandalSuman Lodh

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