Subscribe to RSS
DOI: 10.1055/s-0031-1281848
Optimierte Frontalissuspension zur Korrektur der komplizierten Ptosis
Optimised Frontal Suspension for Correction of Complicated PtosisPublication History
04 October 2011
24 October 2011
Publication Date:
12 January 2012 (online)
Zusammenfassung
Für die Korrektur der komplizierten Ptosis eignet sich die Frontalissuspension mit autologer Fascia lata. Über einen offenen Zugang wird die Faszie zwischen Tarsus und Augenbraue hinter dem Septum implantiert. Die schräge Implantation zwischen Tarsus und Braue ermöglicht die Erhaltung der Flexibilität des Oberlids für die Lidhebung, den Lidschluss und den Lidschlag. Außerdem wird durch diese Implantationstechnik die Formung der Lidfurche verbessert.
Abstract
Complicated ptosis can be corrected by frontal suspension with autologous fascia lata. Via an open approach, the fascia is implanted between the brow and the tarsal plate behind the septum. The oblique implantation between the tarsus and the brow preserves the flexibility of elevation, closure and blinking of the upper lid. Additionally, the skin crease is improved by this technique.
-
Literatur
- 1 Cates CA, Tyers AG. Results of levator excision followed by fascia lata brow supension in patients with congenital an jaw-winking ptosis. Orbit 2008; 27 (02) 83-89
- 2 DeMartlaere SL, Blaydon SM, Cruz AA et al. Broad fascia fixation enhances frontalis suspension. Ophthal Plast Reconstr Surg 2007; 23 (04) 279-284
- 3 Junceda-Moreno J, Suárez-Suárez E, Dos-Santos-Bernardo V. Treatment of palpebral ptosis with frontal suspension: a comparative study of different materials. ArchSocEspOftalmol 2005; 80 (08) 457-461
- 4 Kashkouli MB. A novel technique for small-incision fascia lata harvesting without a fasciatome for the frontalis suspension procedure. Orbit 2007; 26 (03) 203-206
- 5 Leibovitch I, Leibovitch L, Dray JP. Long-term results of frontalis suspension using autogenous fascia lata for congenital ptosis in children under 3 years of age. Am J Ophthalmol 2003; 136 (05) 866-871
- 6 Matsuo K, Yuzuriha S. Frontalis suspension with fascia lata for severe congenital blepharoptosis using enhanced involuntary reflex contraction of the frontals muscle. J Plast Reconstr Aesthet Surg 2008;
- 7 Pfeiffer MJ. Brow Suspension in Complicated Unilateral Ptosis: Frontalis Muscle Stimulation via Contralateral Levator Recession. In: Essentials in Ophthalmology, Oculoplastics and Orbit. Springer Berlin Heidelberg: 2010: 117-124
- 8 Pfeiffer MJ, Toledano N. Obtención de fascia lata autóloga. In: Cirugía palpebral y periocular. Sociedad Española de Oftalmología; Ed. Madrid: 2009: 143-152