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Cristian Montecinos, Ramiro Prieto, Ariel Ceriotto, Ania Buigues, Ana Ortiz, Guillermo Salcedo; Frontalis Suspension for Blepharoptosis Surgery, Is there a best material?. Invest. Ophthalmol. Vis. Sci. 2013;54(15):6377.
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To evaluate the efficacy, indications, and postoperative complications as well as the survival time without ptosis recurrence for the different materials.
Restrospective, observational study of patients with ptosis, intervened with frontal suspension surgery between 2006-2012 in our hospital. A descriptive stadistical analysis and Kaplan-Meier’s curves to calculate the probability of ptosis recurrence was used.
48 eyes of 37 patients were underwent frontal suspension. Mean age at surgery was 9 years. Mean follow-up was 24.8 months (0.1-150 months). The patients were diagnosed: 77% congenital miogenic ptosis (54% simple congenital ptosis). Materials used: nylon 51.9%, fascia lata 19.2%, silastic 13.5%, temporal fascia 5.8%. There was a greater survival time without recurrence when fascia lata was used (150 months), followed by nylon and silastic (52 months). The highest recurrence rate was with nylon and silastic. Also 72.1% of patients did not have any postoperative complications. The most frequent complication was ptosis recurrence in 17.3%.
Frontalis suspension is a useful technique for the treatment of blepharoptosis with no elevator function (0-3 mm). Elevator function, Bell, visual capacity allows to choose the correct surgical technique depending on each case. Nylon, which was the most frequent material use, is the material with less survival time without recurrence. Fascia lata is the preferred material with better result in time in young patients
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