Congenital ptosis. Long-term results of treatment using lyophilized fascia lata for frontalis suspensions.
This report extends a prospective collaborative study published in 1982 of congenital ptosis repair using lyophilized human fascia lata to investigate the permanency of banked human fascia lata. Fifty-six patients are described with a mean postoperative follow-up of 7.2 years and a median follow-up of 8.3 years. Significant recurrence of ptosis was documented in 24 of 56 (43%) patients. New failures continue to be recognized even in the eighth postoperative year. Life table and survival analysis predicts a success rate from frontalis suspension surgery using lyophilized human fascia lata of 90% at 2 to 3 years, 70% at 5 to 6 years, and 50% at 8 to 9 years.
Storm Eye Institute, Medical University of South Carolina, Charleston 29425-2236.
M E
ME
Wilson
R W
RW
Johnson
D001763:Blepharoptosis / Q000151:congenital / Q000601:surgery*; D015331:Cohort Studies; D005206:Fascia Lata / Q000637:transplantation*; D005612:Freeze Drying; D006801:Humans; D008137:Longitudinal Studies; D009801:Oculomotor Muscles / Q000601:surgery*; D011446:Prospective Studies; D012008:Recurrence; D016019:Survival Analysis; D016896:Treatment Outcome