Surgical Outcomes After Frontalis Suspension Using Expanded Polytetrafluoroethylene Sling for Congenital Ptosis.

Autor:	Ghiam BK; Department of Ophthalmology, Roski Eye Institute, University of Southern California, Los Angeles, USA., Su RC; Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Case Western Reserve University, Cleveland, USA., Orge F; Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Case Western Reserve University, Cleveland, USA.; Department of Ophthalmology and Visual Sciences, University Hospitals Rainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Nov 18; Vol. 15 (11), pp. e49020. Date of Electronic Publication: 2023 Nov 18 (Print Publication: 2023).
DOI:	10.7759/cureus.49020
Abstrakt:	Purpose The purpose of the study is to assess short- and long-term functional outcomes after frontalis suspension using expanded polytetrafluoroethylene (ePTFE) sling for congenital ptosis repair. Methods A retrospective, observational case review was conducted on pediatric patients who underwent frontalis suspension using ePTFE sling from 2008 to 2020. Functional success was assessed by lid height, lid symmetry, and parental satisfaction with the cosmetic outcome. Clinical course and long-term functional outcomes after surgery were assessed. Results Twenty-one cases met the inclusion criteria and were assessed. The follow-up time ranged from 13 months to 11 years (mean: six years). Functional success after one surgery was 62% at early and late postoperative periods. Six of 21 cases (29%) required revisional surgery in the early postoperative period due to undercorrection. Three cases (14%) were complicated by infection and/or granuloma formation. There were no cases of ptosis recurrence in the long term if success was seen in the early postoperative period. Conclusion ePTFE slings remain an excellent option for severe congenital ptosis repair with frontalis sling, demonstrating long-term functional success, with satisfactory lid symmetry and acceptable cosmetic outcome. This is of important consideration in patients younger than three years of age, where autogenous materials may not be recommended. The need for early revisional surgery for undercorrection is not uncommon. The current authors also demonstrate a low but considerable risk for infection and/or granuloma formation. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ghiam et al.)
Databáze:	MEDLINE
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