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Silicone sling surgery for congenital ptosis: Tarsal tunnel technique. | LitMetric

Silicone sling surgery for congenital ptosis: Tarsal tunnel technique.

Indian J Ophthalmol

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Published: October 2024

AI Article Synopsis

  • A study was conducted on 30 patients with congenital severe ptosis to compare two techniques for silicone rod fixation in frontalis suspension surgery: the novel tarsal tunnel technique and the conventional suture fixation technique.
  • Both techniques resulted in similar postoperative outcomes in terms of eyelid position and patient satisfaction, with no significant complications reported.
  • The tarsal tunnel fixation method showed promising cosmetic and functional results, but further long-term studies are necessary to confirm the effectiveness of this new technique.

Article Abstract

This was a prospective, interventional, comparative study conducted on patients with congenital simple severe ptosis. A novel method of silicone rod fixation to the tarsus (tarsal tunnel technique, group 1) was done compared with a conventional technique of silicone rod fixation (suture fixation technique, group 2) in frontalis suspension surgery. A total of 30 patients were randomized into two groups of 15 patients each. Postoperatively, MRD1, vertical palpebral aperture, and eyelid fold height were comparable in both groups till the last follow-up with stability in eyelid position. Patient satisfaction scores showed similar results with good-fair satisfaction grading in 13 patients in group 1 and 11 patients in group 2 at 6 months follow-up. No significant complications occurred in either group. Tarsal tunnel fixation of silicone rods is a novel method in sling surgery with optimal cosmetic and function outcomes. Further long-term studies are needed to validate the results of the technique.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573011PMC
http://dx.doi.org/10.4103/IJO.IJO_2766_23DOI Listing

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