Intra-eyebrow frontalis suspension using inverted Y-shaped short autogenous fascia lata for blepharoptosis with poor levator function

Yusuke Shimizu, Tomohisa Nagasao, Hirokazu Shido, Takako Fujii, Tatsuya Kato, Marie Aoki, Keiko Takada, Kazuo Kishi

研究成果: Article

5 引用 (Scopus)

抄録

Frontalis suspension using autogenous fascia lata is a common procedure for blepharoptosis with poor levator function. However, donor-site morbidity associated with fascia lata harvest cannot be ignored. In conventional procedures, the required length of the fascia lata is usually >5-12 cm with a lateral thigh skin incision of approximately 5 cm or more. The present study introduces a new frontalis suspension procedure in which the required size (length and width) of the fascia lata and length of lateral thigh incision is much smaller. The harvested fascia lata is tailored to an inverted Y shape and the separated caudal legs are fixed to the tarsus while the cephalic end is grafted inside the eyebrow through a suborbital septum tunnel. In the present study, 11 patients who underwent the new procedure with a minimum of 6 months of follow-up were evaluated. The average length and width of the harvested fascia lata in unilateral ptosis cases were 2.85 and 0.89 cm, respectively. The average length of the lateral thigh incision was 1.25 cm. The margin reflex distance improved in all cases at 6 months postoperatively. The cosmetic result was graded as good to excellent in most of the patients. Trichiasis, widened donor scar, and eyebrow notch were noted as complications. The present method is a good alternative for the treatment of blepharoptosis with poor levator function. It potentially reduces donor-site morbidity as compared with conventional frontalis muscle suspension procedures using autogenous fascia lata.

元の言語English
ページ(範囲)49-55
ページ数7
ジャーナルJournal of Plastic, Reconstructive and Aesthetic Surgery
68
発行部数1
DOI
出版物ステータスPublished - 2015 1 1

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Blepharoptosis
Fascia Lata
Eyebrows
Suspensions
Thigh
Tissue Donors
Trichiasis
Morbidity
Ankle
Cosmetics
Cicatrix
Reflex
Leg
Head
Muscles
Skin

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

これを引用

Intra-eyebrow frontalis suspension using inverted Y-shaped short autogenous fascia lata for blepharoptosis with poor levator function. / Shimizu, Yusuke; Nagasao, Tomohisa; Shido, Hirokazu; Fujii, Takako; Kato, Tatsuya; Aoki, Marie; Takada, Keiko; Kishi, Kazuo.

:: Journal of Plastic, Reconstructive and Aesthetic Surgery, 巻 68, 番号 1, 01.01.2015, p. 49-55.

研究成果: Article

Shimizu, Yusuke ; Nagasao, Tomohisa ; Shido, Hirokazu ; Fujii, Takako ; Kato, Tatsuya ; Aoki, Marie ; Takada, Keiko ; Kishi, Kazuo. / Intra-eyebrow frontalis suspension using inverted Y-shaped short autogenous fascia lata for blepharoptosis with poor levator function. :: Journal of Plastic, Reconstructive and Aesthetic Surgery. 2015 ; 巻 68, 番号 1. pp. 49-55.
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