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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

unilateral MMBS procedure.(a and b): 7-yr-old girl with paralytic ptosis due to 3rd nerve palsy before and after squint and MMBS procedure. (c) Cosmetically unacceptable correction 6 months post-op. (d) recent re-operation with new MM strip. (e and f) 20-yr-old male before and after surgery with vicryl sutures in place.
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Figure 0004: unilateral MMBS procedure.(a and b): 7-yr-old girl with paralytic ptosis due to 3rd nerve palsy before and after squint and MMBS procedure. (c) Cosmetically unacceptable correction 6 months post-op. (d) recent re-operation with new MM strip. (e and f) 20-yr-old male before and after surgery with vicryl sutures in place.

Mentions: The functional and cosmetic outcome was satisfactory in bilateral cases (Figures 2 and 3) as well as in unilateral cases (Figures 4 and 5). Post-operative cosmetically acceptable asymmetry on down gaze (lid lag) was observed in only some unilateral cases. All cases had a smooth lid contour, without marginal irregularities or peaking of the skin over the sling. Temporary dimpling and skin wrinkling at stab incision sites disappeared gradually. Three patients had clinically insignificant lagophthalmos during sleep. However, since all cases had a good or acceptable Bell's phenomenon, prophylactic topical lubricant eye ointment guarded against exposure keratopathies.


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

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

unilateral MMBS procedure.(a and b): 7-yr-old girl with paralytic ptosis due to 3rd nerve palsy before and after squint and MMBS procedure. (c) Cosmetically unacceptable correction 6 months post-op. (d) recent re-operation with new MM strip. (e and f) 20-yr-old male before and after surgery with vicryl sutures in place.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0004: unilateral MMBS procedure.(a and b): 7-yr-old girl with paralytic ptosis due to 3rd nerve palsy before and after squint and MMBS procedure. (c) Cosmetically unacceptable correction 6 months post-op. (d) recent re-operation with new MM strip. (e and f) 20-yr-old male before and after surgery with vicryl sutures in place.
Mentions: The functional and cosmetic outcome was satisfactory in bilateral cases (Figures 2 and 3) as well as in unilateral cases (Figures 4 and 5). Post-operative cosmetically acceptable asymmetry on down gaze (lid lag) was observed in only some unilateral cases. All cases had a smooth lid contour, without marginal irregularities or peaking of the skin over the sling. Temporary dimpling and skin wrinkling at stab incision sites disappeared gradually. Three patients had clinically insignificant lagophthalmos during sleep. However, since all cases had a good or acceptable Bell's phenomenon, prophylactic topical lubricant eye ointment guarded against exposure keratopathies.

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