Re: 'Muscle prolapse after harvesting autogenous fascia lata used for frontalis suspension in children'.

摘要

Bleyen et al. are to be congratulated for broaching the complication of muscle prolapse after harvesting fascia lata via an incision slightly above the lateral aspect of the knee. On evaluating 30 patients in whom this technique was used, they noted 50% had some form of muscle prolapse; 2 patients had invisible but palpable bulging, 5 patients had mildly visible bulging, and 8 patients had obvious, visible bulging. While 90% of patients had no functional discomfort, 2 patients (6.7%) had occasional discomfort, and one patient (3.3%) had frequent discomfort on exercising. The authors noted that no herniation of the muscle has been reported with harvesting fascia lata superiorly on the thigh, halfway between the greater trochanter and the anterior iliac crest, as described by Naugle et al. Since the time of our original report in 1997, there have been no reports of muscle herniation. Malhotra et al.3 have used the Naugle high leg incision via an endoscope with good results.