Frontalis Suspension Using Autologous Fascia Lata in Children Under 3 Years Old

Ophthalmic Plast Reconstr Surg. 2021 Jul-Aug;37(4):377-380. doi: 10.1097/IOP.0000000000001882.

Abstract

Purpose: To analyze functional results and complications of the use of autologous fascia lata in frontalis suspension in children under 3 years old and to confirm its technical viability.

Methods: A retrospective review of 8 patients (12 eyes) who underwent frontalis suspension using autologous fascia lata sling.

Results: Twelve eyes of 8 patients were analyzed, with an average age of 1.8 ± 0.6 years. Preoperatively, the mean margin-to-reflex distance 1 was -0.17 ± 0.577 mm. Postoperatively the mean margin-to-reflex distance 1 was 2.66 ± 0.492 mm without any graft donor site or corneal complications. No recurrence was recorded in the follow-up period (mean follow-up period 28.5 ± 32.33 months).

Conclusions: Autologous fascia lata is an eligible material in frontalis suspension in children under 3 years old, despite the traditional oculoplastic dogma that advises against.

MeSH terms

  • Blepharoptosis* / surgery
  • Child
  • Child, Preschool
  • Fascia Lata*
  • Follow-Up Studies
  • Humans
  • Infant
  • Recurrence
  • Retrospective Studies
  • Transplantation, Autologous