Effect of Suturing the Silicone Rod to the Tarsal Plate and the Suture Material Used on Success of Frontalis Suspension Surgery

• DOI: 10.1097/iop.0b013e31827a0068
• Publication Date: 2012-12-11T12:39:27Z
• Authors: Ibrahim Bulent Bu...; Didem Serin; Safak Karslioglu; Muslime Akbaba; Seyhmus Ari; Korhan Fazil
• Keywords: Blepharoplasty; Male; Adolescent; Sutures; Polyesters; Suture Techniques; Eyelids; Infant; Polyenes; Prostheses and Implants; Young Adult; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Child, Preschool; Silicone Elastomers; Blepharoptosis; Humans; Female; Child

To evaluate the effect of suturing silicone rod to tarsal plate and suture material used in on surgical success frontalis suspension for congenital ptosis.Eighty eyes 56 consecutive patients who underwent surgery using rods ptosis between 2005 2011 were included this retrospective study. The results compared, which had not been sutured (group 1), with those monofilament polypropylene 2), polybutylate-coated braided polyester 3). Surgical indicated that postoperative eyelid position was maintained within 1 mm normal position, is, below superior limbus bilateral cases same level other unilateral cases, primary gaze. Postoperative beyond these limits defined as failure.The mean follow up 16.3 months (6-38 months) age 5.48 years (1-24 years). Thirty male 26 female patients. failure occurred 9 18 (50%) group 1, 5 24 (20.8%) 2, 38 (13%) 3 during follow-up period after adequate elevation achieved just operation. difference rates 2 (p = 0.047) 0.003) statistically significant. However, did reach statistical significance.Suturing increases ptosis. Suturing polyester, even though insignificant, seems be more effective than polypropylene.