Frontalis muscle flap advancement for correction of blepharoptosis.
OBJECTIVE
To describe a technique of frontalis muscle flap advancement to repair myogenic ptosis in lieu of a graft or suture material.


METHODS
Ten ptotic eyelids in eight patients were repaired using the frontalis flap technique. Patients were selected at random by two separate surgeons; all patients had eyelid excursion measured as poor (or less than 6 mm).


RESULTS
Nine of 10 ptotic eyelids were adequately corrected by the frontalis flap technique, with follow-up intervals ranging from 18 to 42 months. Adequate correction was defined as ptosis corrected within 1 mm of the fellow eyelid. Complications of frontalis advancement were few and primarily transient.


CONCLUSIONS
Frontalis flap advancement is a technically simple, safe, and effective technique for the repair of myogenic ptosis. The primary advantage of frontalis muscle flap advancement over a graft or suture material that it elevates the eyelid directly by moving the insertion of the frontalis muscle into the eyelid, rather than by graft or suture material.
Goldey
S H
SH
Mid-Florida Eye Center, Mt. Dora 32757, USA.
Baylis
H I
HI
Goldberg
R A
RA
Shorr
N
N
D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005143:Eyelids / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D012449:Safety; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome