Frontalis Suspension Using Silicone Rod.

Cho, Jun Hyoung; Park, Jun Sung; Lee, Jong Heun

Original Article

Journal of the Korean Ophthalmological Society 2002;43(2):343-348.
Published online February 1, 2002.

Frontalis Suspension Using Silicone Rod.

Jun Hyoung Cho, Jun Sung Park, Jong Heun Lee

Department of Ophthalmology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. Jheun@unitel.co.kr

Silicone rod를 이용한 전두근 걸기술

조준형 ( Jun Hyoung Cho ) , 박준성 ( Jun Sung Park ) , 이종흔 ( Jong Heun Lee )

Abstract

PURPOSE
To evaluate the surgical results and complications in patients with blepharoptosis who underwent frontalis suspension using a silicone rod. METHODS: A total of 31 lids of 23 patients with blepharoptosis and poor levator function underwent a pentagon-shaped loop silicone sling surgery in which six skin incisions were made. Eighteen patients had congenital ptosis, two blepharophimosis-ptosis syndrome, two blepharoptosis with superior rectus muscle weakness, and one third nerve palsy. RESULTS: With a mean age of 14 years and a mean follow-up of 16 months, good-to-excellent lid height was achieved in 27 lids (87%) of 20 patients and poor results with undercorrection in 4 lids (13%) of 3 patients. Three of the 4 lids with poor results had reoperation and satisfactory results were achieved. Transient exposure keratitis occurred postoperatively in 7 lids (23%) and persistent exposure keratitis in 2 lids (6%). During the follow-up period, extrusion of the sling and infection did not occur; ptosis recurred in 4 lids (13%). CONCLUSIONS: Silicone rod can be adjusted easily after frontalis suspension, but it needs to pay close attention because the string can be broken during the operation or follow-up period. It is considered that additional follow-ups for a long-term recurrence rate of ptosis are necessary and sufficient explanation to the patients and family and their understanding are need.

Key Words: Blepharoptosis;Frontalis suspension;Silicone rod