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The septal pulley in frontalis suspension
Archives of Ophthalmology (Chicago, Ill. : 1960)
|November 1, 1986
Summary
A modified frontalis suspension technique for blepharoptosis improves eyelid elevation by anchoring the sling deeper, resolving issues like lid crease obliteration and skin tenting. This refined brow suspension offers better cosmetic and functional outcomes.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Traditional frontalis suspension for blepharoptosis has drawbacks including superficial sling placement.
- This can cause cosmetic issues like skin tenting and lid crease obliteration, and functional limitations in eyelid height.
Observation:
- The modified technique anchors suspensory material posterior to the superior orbital septum near the arcus marginalis.
- This provides more physiological vectors for upper eyelid elevation.
Findings:
- The modification resulted in good cosmetic and functional outcomes in 96 cases.
- Both autogenous (from the patient) and alloplastic (synthetic) materials were used successfully.
Implications:
- This refined frontalis suspension technique addresses drawbacks of older methods.
- It offers a potentially superior surgical option for correcting blepharoptosis.