Simple alternative to the Wright needle in frontalis sling surgery

Area of Science:

• Ophthalmology
• Plastic Surgery

Background:

• The Wright needle is commonly used for fascia lata or synthetic material insertion in frontalis suspension surgery.
• Surgeons often face handling difficulties with the Wright needle, potentially impacting surgical outcomes.

Purpose of the Study:

• To introduce and evaluate an 18-gauge needle with a 4/0 monofilament polypropylene suture as a novel alternative to the Wright needle.
• To assess the efficacy and safety of this alternative needle-suture combination for frontalis suspension procedures.

Main Methods:

• A modified technique utilizing an 18-gauge needle preloaded with a 4/0 monofilament polypropylene suture was employed.
• This method was compared to the traditional Wright needle technique for frontalis suspension surgery.

Main Results:

• The 18-gauge needle with polypropylene suture demonstrated significantly less slippage compared to the Wright needle.
• Easier control over needle direction and depth of tissue penetration was observed, leading to more accurate placement of sling material.
• A reduction in damage to surrounding tissues was noted with the alternative method.

Conclusions:

• The 18-gauge needle and 4/0 monofilament polypropylene suture provide a viable and advantageous alternative to the Wright needle for frontalis suspension surgery.
• This technique enhances surgical precision, improves instrument handling, and minimizes iatrogenic tissue injury.