Frontal Muscle Flap Technique as an Alternative for the Treatment of Congenital Palpebral Ptosis

Abstract

Abstract: : Purpose:: Congenital palpebral ptosis with poor elevator muscle function is a therapeutic problem in which many procedures have been described. The most popular one is the usage of the suspension method through the action of the frontal muscle. The frontal muscle flap technique is another alternative for congenital palpebral ptosis. Methods:: We included 19 patients with congenital palpebral ptosis with poor elevator function who underwent frontal muscle flap technique and with a 6 month follow up. The evaluation of the palpebral fissure and palpebral closing was: good (symmetry or asymmetry less than 2mm), regular (asymmetry of 2mm) and bad (more than 3mm of asymmetry) depending on the final eyelid position Results:Fourteen patients (73%) with good results, 4 patients (21.05%) with regular and 1 patient (5.23%) with bad results. The palpebral aspect was satisfactory in 100% of the cases. Conclusion:: Frontal muscle flap technique is an excellent option for the treatment of congenital palpebral ptosis with low elevator function.

Keywords: 356 clinical (human) or epidemiologic studies: systems/equipment/techniques • 410 eyelid • 508 pathology techniques