Surgical treatment of severe congenital ptosis using deep temporal fascia

摘要

Purpose: To evaluate the surgical outcome of a frontalis sling using deep temporal fascia in the treatment of severe congenital ptosis (SCP).Methods: A retrospective, interventional case series was performed. The study involved 25 patients with SCP (>4?mm). All patients underwent frontalis sling surgery with deep temporal fascia between 2004 and 2012 with a follow-up period of 12?months at a minimum. Data regarding eyelid position, eyelid symmetry, cosmetic outcomes, and postoperative complications were evaluated.Results: The mean age at surgery was 7.68?years (range 4–17?years) with an average follow-up of 60?months (range is 12–108?months). The functional success rate was 88% (22/25). Ptosis recurred in 8% (2/25) of patients, overcorrection was present in 4% (1/25) of patients. The patients with ptosis recurrence underwent reoperation.The preoperative margin-to-reflex distance (MRD1) was ?0.85±0.87?mm (range, ?2.5 to +?0.5?mm), while the postoperative MRD1 was +?2.1?±?1.05?mm (range, ?1.5 to +?4?mm) (p?