Article Text

Download PDFPDF

P-10 A cadaveric demonstration of a novel surgical approach for treatment of ptosis
  1. Fatima Kalabi1,
  2. Huw Oliphant2,
  3. Chris Schultz3,
  4. Saul Rajak2
  1. 1Brighton and Sussex Medical School, University of Sussex, Brighton, UK
  2. 2Brighton and Sussex Medical School, Sussex Eye Hospital, Brighton, UK
  3. 3Sussex Eye Hospital, Brighton, UK

Abstract

Introduction Frontalis suspension surgery (FSS) is the established surgical treatment for severe ptosis. Limitations of this technique includes need for patient engagement to raise the eyelid, oedema and infection at the incision sites, as well as facial scarring. This study carries out an anatomical investigation into an alternative surgical approach which aims to minimise these limitations.

Aims To carry out a cadaveric demonstration of surgical techniques, comparing FSS to an alternative approach.

Methods A fresh frozen cadaveric head specimen was used to demonstrate the FSS procedure and the alternative approach. Outcomes were recorded by photographs. This included the post-operative palpebral fissure height (PFH), as well as the capacity for the eyelids to close post-operation. The aesthetic outcome of both procedures was also analysed.

Results The proposed surgical technique and the FSS method both achieved a post-op PFH measurement within the normal range at 7mm following procedures. The study also demonstrated that the proposed technique allowed for full eyelid closure against the retracting tension of the sling. The aesthetic outcome of the proposed surgical method was superior to the FSS technique by achieving a natural eye contour while eliminating brow incision scars.

Conclusion The study presents a successful cadaveric demonstration of a novel surgical procedure for treatment of severe ptosis. This procedure offers resolutions for multiple adverse effects of FSS, as well as functional and aesthetic limitations. However, the higher risk of lagophthalmos is an anticipated concern. This requires further research into the mechanical compatibility of this technique in vivo.

https://creativecommons.org/licenses/by/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.