title: Frontalis muscle flap suspension for the correction of congenital blepharoptosis in early age children.
abstract: BACKGROUND
  We aimed to report our successful use of frontalis muscle flap suspension for the correction of congenital blepharoptosis in early age children.
  
  
  METHODS
  This retrospective study included 61 early age children (41 boys, 20 girls) with an average age of 6 years (range, 3-10 years) with congenital blepharoptosis who received surgery during the period from March 2007 to January 2011. There were 39 cases of unilateral blepharoptosis and 22 cases of bilateral blepharoptosis, thus a total of 83 eyes were affected. If patient had bilateral blepharoptosis, both eyes were operated on in the same surgery. Patients were followed for 3 months to 5 years. The procedure was performed without complications in all cases.
  
  
  RESULTS
  The postoperative healing grade was good in 81 eyes (97.6%); the correction of blepharoptosis was satisfactory, the double eyelid folds were natural and aesthetic, the eyelid position and the curvature were ideal, and the eyes were bilaterally symmetrical. The postoperative healing grade was fair in 2 eyes (2.4%); blepharoptosis was improved compared with that before surgery. At discharge, lagophthalmos was noted in 10 eyes of which 4 cases resolved by the last follow-up. The remaining 6 cases were mild. Eleven eyes received reoperation for residual ptosis after the first surgery. The curvature of the palpebral margin was not natural in 4 eyes. These unnatural curvature possibly was caused by an excessively low lateral fixation point or postoperative avulsion.
  
  
  CONCLUSIONS
  Frontalis muscle flap suspension under general anesthesia for the correction of congenital blepharoptosis in early age children can achieve good surgical results.
authors: Department of Microinvasive Plasitic Surgery Center, Plastic Surgical Hospital, Peking Union Medical College and Chinese Academy of Medcial Sciences, Beijing, P.R. China.
authors: Dianju
authors: D
authors: Hou
authors: Gehong
authors: G
authors: Li
authors: Lin
authors: L
authors: Fang
authors: Bing
authors: B
authors: Li
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000151:congenital / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005143:Eyelids / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000601:surgery*