The Septal Pulley in Frontalis Suspension
- 1 November 1986
- journal article
- case report
- Published by American Medical Association (AMA) in American Journal of Ophthalmology
- Vol. 104 (11), 1707-1710
- https://doi.org/10.1001/archopht.1986.01050230145051
Abstract
• We present a modification of the frontalis suspension for blepharoptosis, first described in 1937, that eliminates many of the drawbacks of traditional brow suspension techniques. Functional and cosmetic problems with standard suspension procedures are related to the superficial location of the sling in the eyelid, which leads to unsatisfactory geometric tenting of the pretarsal and preseptal skin, obliteration of the lid crease, and a pulling away of the upper lid from the globe with brow elevation. Eyelid height is also limited by the upper lid being pulled away from the globe. By anchoring the suspensory material behind the superior orbital septum near the arcus marginalis, more physiologic vectors of elevation are transmitted to the upper eyelid. This modification has yielded good cosmetic and functional results in 96 cases of frontalis suspension using both autogenous and alloplastic materials, and it deserves to be more widely used.Keywords
This publication has 3 references indexed in Scilit:
- Ptosis SurgeryPublished by Jaypee Brothers Medical Publishing ,2010
- Aponeurotic Ptosis SurgeryAmerican Journal of Ophthalmology, 1979
- OX-FASCIA-TRANSPLANT OPERATION FOR PTOSISSouthern Medical Journal, 1937