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Case Reports
. 2004 Apr;88(4):585-6.
doi: 10.1136/bjo.2003.028415.

Incision-less frontalis suspension

C-C Yip, R A Goldberg, T L Cook, J D McCann
Case Reports

Incision-less frontalis suspension

C-C Yip et al. Br J Ophthalmol. 2004 Apr.
No abstract available

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Figures

Figure 1
Figure 1
(Top left) A Keith needle, threaded with a Nylon and a Vicryl suture, is passed from one eyelid puncture site to the corresponding eyebrow puncture site in a sub-orbicularis plane. (Top right) The Keith needle, loaded with the sutures, is passed from one eyebrow puncture site to another. (Bottom left) The 4/0 Vicryl suture is manoeuvred in a “sawing” manner with both hands to release the soft tissues at the eyebrow puncture sites to avoid skin dimpling. (Bottom right) The 4/0 Nylon suture is passed from one eyelid puncture site to another taking a partial thickness bite. The eyelid is everted during this tarsal passage to ensure no full thickness penetration.
Figure 2
Figure 2
(Left) Preoperative picture of a 1 year old girl with bilateral congenital ptosis and a chin-up position. The child has bilateral poor levator function. (Right). Postoperative picture of the patient after bilateral frontalis suspension using the described technique. Both the eyelids are adequately elevated with a satisfactory contour although the chin-up position is not totally ameliorated.
See this image and copyright information in PMC

References

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    1. Steinkogler FJ, Kuchar A, Huber E, et al. Gore-Tex soft-tissue patch frontalis suspension technique in congenital ptosis and in blepharophimosis-ptosis syndrome. Plast Reconstr Surg 1993;92:1057–60. - PubMed
    1. Crawford JS. Repair of ptosis using frontalis muscle and fascia lata: a 20-year review. Ophthalmic Surg 1977;8:31–40. - PubMed
    1. Wilson ME, Johnson RW. Congenital ptosis. Long-term results of treatment using lyophilized fascia lata for frontalis suspensions. Ophthalmology 1991;98:1234–7. - PubMed