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  • Title: Open loop fascial sling for severe congenital blepharoptosis.
    Author: Arajy ZY.
    Journal: J Craniomaxillofac Surg; 2012 Feb; 40(2):129-33. PubMed ID: 21821427.
    Abstract:
    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.
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