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Extrusion and granuloma formation with mersilene mesh brow suspension
Background And Objective:
A variety of biologic or synthetic materials have been used in brow suspension ptosis surgery. We describe extrusion and granuloma formation in 5 cases of congenital ptosis operated with Mersilene mesh sling.
Patients And Methods:
Case reports with review of literature.
Results:
Two cases of extrusion and 3 cases of granuloma formation were encountered in 79 eye lids of 52 (6.3%) patients performed for the treatment of congenital ptosis. Mersilene mesh fibers in the cut surface and a foreign body reaction were found by microscopic evaluation of tissue harvested at the time of surgical removal of the sling.
Conclusion:
Despite the operative precautions, the probability of extrusion and granuloma formation should be in mind in cases of congenital ptosis operated with Mersilene mesh sling, a synthetic material.
Insights
Mersilene mesh slings used for congenital ptosis surgery can lead to complications. Surgeons should be aware of the risks of extrusion and granuloma formation with this synthetic material.
Area of Science:
- Ophthalmology
- Surgical Materials Science
Background:
- Brow suspension ptosis surgery utilizes various biologic or synthetic materials.
- Mersilene mesh sling is a synthetic material employed in these procedures.
Observation:
- This study reports on 5 cases of complications following Mersilene mesh sling use for congenital ptosis.
- Complications included extrusion and granuloma formation in 6.3% of patients.
Findings:
- Microscopic evaluation revealed Mersilene mesh fibers and foreign body reactions in excised tissue.
- Two cases of extrusion and three of granuloma formation were observed.
Implications:
- Despite surgical care, the potential for extrusion and granuloma formation with Mersilene mesh slings must be considered.
- This highlights the importance of material selection and patient monitoring in congenital ptosis repair.