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Frontalis muscle flap advancement for correction of blepharoptosis
S H Goldey1, H I Baylis, R A Goldberg
1Mid-Florida Eye Center, Mt. Dora 32757, USA.
Purpose:
To describe a technique of frontalis muscle flap advancement to repair myogenic ptosis in lieu of a graft or suture material.
Methods:
Ten ptotic eyelids in eight patients were repaired using the frontalis flap technique. Patients were selected at random by two separate surgeons; all patients had eyelid excursion measured as poor (or less than 6 mm).
Results:
Nine of 10 ptotic eyelids were adequately corrected by the frontalis flap technique, with follow-up intervals ranging from 18 to 42 months. Adequate correction was defined as ptosis corrected within 1 mm of the fellow eyelid. Complications of frontalis advancement were few and primarily transient.
Conclusions:
Frontalis flap advancement is a technically simple, safe, and effective technique for the repair of myogenic ptosis. The primary advantage of frontalis muscle flap advancement over a graft or suture material that it elevates the eyelid directly by moving the insertion of the frontalis muscle into the eyelid, rather than by graft or suture material.