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Open loop fascial sling for severe congenital blepharoptosis
1Scientific Council of Plastic Surgery, Iraqi Board for Medical Specializations, Baghdad, Iraq. zakarajy_dr@yahoo.com
Purpose:
Severe congenital eyelid ptosis present as a functional and aesthetic problem. The choices of procedures depend mainly on providing an additional elevator force to the upper lid to elevate it, and maintain a reasonable eye opening and vision. We describe a simple open loop fascia lata suspension sling to the frontalis muscle to treat patients with severe eyelid ptosis and poor levator function.
Methods:
Sixty nine lids in 51 patients, were enrolled in this study, all had severe eyelid ptosis and had autogenous fascial sling used for the correction of the ptosis.
Results:
The final lid level and contour was evaluated after the follow-up period and showed that the results were satisfactory in 77% of the patients. The unsatisfactory results were due to under correction in 10%, poor lid crease in 6%, lid notch in 4%, and entropion in 3% of the operated lids.
Conclusions:
The accurate evaluation and implementation of this technique can correct the problem of ptosis provided that the patients exercises the frontalis muscle in order to accomplish the desired lid level.
