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Mersilene Mesh Brow Suspension: A New Modified Fox's Procedure - Five Years Clinical Experience.

Hafez A, Mahmoud MS - Middle East Afr J Ophthalmol (2008)

Bottom Line: The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm).The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

View Article: PubMed Central - PubMed

Affiliation: Research Institute of Ophthalmology, Giza, Egypt.

ABSTRACT

Purpose: The aiming was to study the long-term clinical outcome and the merit of the author's modification of the fox's procedure.

Methods: Mersilene mesh brow suspension (MMBS) procedure was performed in 50 upper lids with severe blepharoptosis and poor levator function.

Results: The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm). The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.

Conclusion: In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

No MeSH data available.


Related in: MedlinePlus

(A): Diagram illustrating position of the five horizontal stab incisions in modified Fox's pentagon technique; (B): Diagram illustrating the authors' modification of modified Fox's technique. 6th stab is a central brow incision 5 mm above and parallel to the original 5th central superior brow incision; (C): Mersilene strands coming through the original 5th superior brow incision (The original modified Fox's pentagon technique). Notice: 4 pieces of black silk thread is temporarily inserted in stab incisions. (D): The final position of the sling with Mersilene strands rethreaded through the 5th incision to appear through the 6th central brow incision (Authors' modification).
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Figure 0001: (A): Diagram illustrating position of the five horizontal stab incisions in modified Fox's pentagon technique; (B): Diagram illustrating the authors' modification of modified Fox's technique. 6th stab is a central brow incision 5 mm above and parallel to the original 5th central superior brow incision; (C): Mersilene strands coming through the original 5th superior brow incision (The original modified Fox's pentagon technique). Notice: 4 pieces of black silk thread is temporarily inserted in stab incisions. (D): The final position of the sling with Mersilene strands rethreaded through the 5th incision to appear through the 6th central brow incision (Authors' modification).

Mentions: The surgical procedure of MMBS was the authors' modification of the original modified fox pentagon technique described by Downes and Collin.2 Moreover four pieces of 4/0 black silk thread were temporarily inserted under the strips of MM in the lid and brow incisions and appearing freely outside the incisions as adopted by Hintschich et al.3 Manipulation of the inserted black silk thread aids adjusting the lid contour and height as shown in Figure 1A, B, and C.


Mersilene Mesh Brow Suspension: A New Modified Fox's Procedure - Five Years Clinical Experience.

Hafez A, Mahmoud MS - Middle East Afr J Ophthalmol (2008)

(A): Diagram illustrating position of the five horizontal stab incisions in modified Fox's pentagon technique; (B): Diagram illustrating the authors' modification of modified Fox's technique. 6th stab is a central brow incision 5 mm above and parallel to the original 5th central superior brow incision; (C): Mersilene strands coming through the original 5th superior brow incision (The original modified Fox's pentagon technique). Notice: 4 pieces of black silk thread is temporarily inserted in stab incisions. (D): The final position of the sling with Mersilene strands rethreaded through the 5th incision to appear through the 6th central brow incision (Authors' modification).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3040915&req=5

Figure 0001: (A): Diagram illustrating position of the five horizontal stab incisions in modified Fox's pentagon technique; (B): Diagram illustrating the authors' modification of modified Fox's technique. 6th stab is a central brow incision 5 mm above and parallel to the original 5th central superior brow incision; (C): Mersilene strands coming through the original 5th superior brow incision (The original modified Fox's pentagon technique). Notice: 4 pieces of black silk thread is temporarily inserted in stab incisions. (D): The final position of the sling with Mersilene strands rethreaded through the 5th incision to appear through the 6th central brow incision (Authors' modification).
Mentions: The surgical procedure of MMBS was the authors' modification of the original modified fox pentagon technique described by Downes and Collin.2 Moreover four pieces of 4/0 black silk thread were temporarily inserted under the strips of MM in the lid and brow incisions and appearing freely outside the incisions as adopted by Hintschich et al.3 Manipulation of the inserted black silk thread aids adjusting the lid contour and height as shown in Figure 1A, B, and C.

Bottom Line: The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm).The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

View Article: PubMed Central - PubMed

Affiliation: Research Institute of Ophthalmology, Giza, Egypt.

ABSTRACT

Purpose: The aiming was to study the long-term clinical outcome and the merit of the author's modification of the fox's procedure.

Methods: Mersilene mesh brow suspension (MMBS) procedure was performed in 50 upper lids with severe blepharoptosis and poor levator function.

Results: The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm). The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.

Conclusion: In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.

No MeSH data available.


Related in: MedlinePlus