Frontalis Sling Surgery: Autogenous Fascia Lata Graft Versus Silicon Rod in Congenital Ptosis
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Background: Severe ptosis with poor LPS function is corrected with a levator sling procedure, silicon rod being one of the materials. Many materials are being used for the purpose; most commonly used being autogenous fascia lata but is difficult to harvest. Alternative material are being tried to overcome the difficulty. Silicon rod is one of them. Objective: To evaluate the long–term result of frontalis sling surgery using silicon rod in comparison with autogenous fascia lata in patients with congenital ptosis. Materials and Method: A Retrospective, nonrandomized, comparative study was conducted on 32 eyes of 21 patients. Eleven patients (17 eyelids) underwent frontalis sling suspension using silicon rod, whereas 10 patients (15 eyelids) underwent frontalis suspension using autogenous fascia lata. Postoperative follow-up at 3 and 6 months and then at 1 year was done to assess for median reflex distance (MRD), recurrence of ptosis, and cosmetic result. The two groups were compared with respect to age, preoperative MRD, preoperative amount of ptosis, and levator function using Mann-Whitney U test and independent t test. Postoperative MRD were also compared with independent t test. A p < 0.05 was considered statistically significant. Results: The mean age of the patients was 45.5 ± 11.56 months in silicon rod group (SRG) and 44.75 ± 11.38 months in fascia lata group (FLG). The mean follow-up was 18 ± 5.33 months in SRG and 17 ± 7.74 months in FLG. At the end of the follow-up, the recurrence rate was 17.6 % in SRG and 20% In FLG. Conclusion: The frontalis sling operation using rod or autologous fascia lata show similar cosmetic results.
Authors and Affiliations
Jairam Jagiasi, Kapil A Das
Keywords
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- EP ID EP542624
- DOI 10.21276/ijmrp.2017.3.1.043
- Views 83
- Downloads 0
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