title: Clinical Outcomes of Frontalis Sling Using Silicone Rod With Two-point Brow Incisions in Blepharoptosis.
abstract: OBJECTIVE
  To investigate the functional and cosmetic outcomes of the modified frontalis sling operation using silicone rod with two-point brow incisions.
  
  
  METHODS
  A retrospective medical record review of 17 patients who underwent frontalis suspension surgery was performed. Functional outcomes were measured using habitual margin reflex distance. Cosmetic outcomes were investigated with contour analysis and a Patient Scar Assessment Questionnaire.
  
  
  RESULTS
  At the final visit, good and fair eyelid heights were achieved in 75% of patients in the unilateral group and 61.1% in the bilateral group. The average increase in margin reflex distance 1 was 1.9 mm in the unilateral group and 1.8 mm in the bilateral group. Satisfaction scores were 14.6, 8.2, and 11.8 for appearance, symptoms, and consciousness, respectively. In contour analysis, the normal arch generally increased.
  
  
  CONCLUSIONS
  Frontalis suspension with two-point brow incisions resulted in similar functional and cosmetic outcomes as the three-point brow incision technique. This study showed patient satisfaction with the aesthetic result after the frontalis sling procedure. [J Pediatr Ophthalmol Strabismus. 2016;53(4):224-232.].
authors.forename: Youngje
authors.initials: Y
authors.lastname: Sung
authors.forename: Jong Seo
authors.initials: JS
authors.lastname: Park
authors.forename: Helen
authors.initials: H
authors.lastname: Lew
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001763:Blepharoptosis / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005138:Eyebrows; D005143:Eyelids / Q000601:surgery*; D005152:Facial Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012828:Silicones
chemical_list: D012828:Silicones