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Free tarsus autogenous graft struts for lower eyelid elevation
1Corneo-plastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom.
Ophthalmic Plastic and Reconstructive Surgery
|March 22, 2005
Summary
Free tarsus autogenous graft (FTG) struts offer effective lower eyelid elevation up to 7 mm. This technique conserves tissue while providing lasting results for eyelid reconstruction.
Area of Science:
- Oculoplastics
- Reconstructive Surgery
- Ophthalmic Surgery
Background:
- Free tarsus autogenous graft (FTG) is a biological spacer for lower eyelid elevation.
- Standard FTG use is limited to spacers <4 mm due to upper eyelid rigidity requirements.
Observation:
- A novel technique utilizes two parallel vertical FTG struts instead of horizontal interpositioning.
- This method was applied to nine eyelids in six patients (ages 41-80) with various underlying conditions.
Findings:
- The FTG strut technique achieved effective spacer heights up to 7 mm.
- Follow-up (9-20 months) showed good outcomes with no complications in all reported cases.
Implications:
- Vertical FTG struts provide an effective and durable solution for significant lower eyelid elevation.
- This augmentation allows harvesting up to 7 mm of tarsus from a 4 mm vertical height strip, maximizing tissue conservation.
