AI Summary & Key Takeaways
AI InsightConclusion: In conclusion for the treatment of congenital ptosis for the cases that fascia lata could not be harvested polytetrafluoroethylene may be used as an alternative material for brow suspension.
📌 3 Key Takeaways
Abstract
Purpose: To evaluate the clinical results of polytetrafluoroethylene used brow suspension operations for the treatment of congenital ptosis. Material and Method: The study involved 11 patients (7 men, 4 women) operated for congenital ptosis with polytetrafluoroethylene brow suspension technique between September 2003 and January 2006 with a mean age of 10,64±5,82 years (5-20). The levator function of all the cases was 4 mm or less than 4 mm. The clinical results of the operation were evaluated according to the degree of lagophthalmos, level of remaining ptosis, and existence of recurrence. Results: The mean follow-up period for the patients involved to the study was 14,45±7,55 months (3-29). Residual ptosis was examined in 2 of the patients and slight residual ptosis in 4 of the patients and the rest 5 of them were evaluated as having a good end-result. One patient out of 11 developed abscess at the postoperative 10th month and polytetrafluoroethylene suspension has been explanted. One patient has been reoperated for the treatment of under correction within early postoperative period. Conclusion: In conclusion for the treatment of congenital ptosis for the cases that fascia lata could not be harvested polytetrafluoroethylene may be used as an alternative material for brow suspension.
Özet
Amaç: Konjenital ptozislerde politetrafloroetilen kullanılarak yapılan frontal askı cerrahisi sonuçlarının klinik olarak değerlendirilmesi. Gereç ve Yöntem: Çalışmamız Eylül 2003-Ocak 2006 tarihleri arasında yaş ortalaması 10,64±5,82 yıl (5-20) olan 11 hastanın 11 göz kapağına politetrafloroetilen kullanılarak frontal askı tekniği ile ptozis ameliyatı uygulandı. Hastaların tamamında levator kas fonksiyonu 4 mm veya altındaydı. Hastalar ptozis miktarı, lagoftalmus ve nüks yönünden değerlendirildi. Bulgular: Ortalama 14,45±7,55 ay (3-29) takip edildiler. Hastalardan 5’inde iyi, 4’ünde tatminkar, 2’sinde kötü sonuç aldık. On bir hastadan bir tanesinde postoperatif 10. ayda enfeksiyon gelişti, bir hastaya az düzeltme nedeniyle erken dönemde reoperasyon yapıldı. Enfeksiyon gelişen hastada politetrafloroetilen çıkartıldı. Sonuç: Sonuç olarak konjenital ptozis tedavisinde PTFE sütür ile frontal askılama fasya latanın alınamadığı durumlarda uygulanabilir.