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Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited

PURPOSE: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. METHODS: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspensio...

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Autores principales: Naik, Abhijit, Patel, Anamika, Bothra, Nandini, Panda, Lapam, Naik, Milind N, Rath, Suryasnata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859604/
https://www.ncbi.nlm.nih.gov/pubmed/29480260
http://dx.doi.org/10.4103/ijo.IJO_819_17
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author Naik, Abhijit
Patel, Anamika
Bothra, Nandini
Panda, Lapam
Naik, Milind N
Rath, Suryasnata
author_facet Naik, Abhijit
Patel, Anamika
Bothra, Nandini
Panda, Lapam
Naik, Milind N
Rath, Suryasnata
author_sort Naik, Abhijit
collection PubMed
description PURPOSE: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. METHODS: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the study period were reviewed and outcome was analyzed. RESULTS: Fourteen patients (10 males) were included in the study. Mean age of the group was 18.14 + 17.03 years (range 4-65 years) and 11 patients had simple congenital blepharoptosis. Blepharophimosis syndrome was seen in 3 patients. Eleven patients had bilateral blepharoptosis. The mean preoperative and postoperative MRD1 was –1.60 ± 0.87 mm and +2.12 ± 1.37 mm respectively. Mean lengths of the incision and fascial harvest were 2.25 ± 0.43 cm and 13.0 ± 2.35 cm (range 10-17 cm) respectively. The median follow-up of patients was 4.57 + 4.03 months (range 1-15 months). Complications included a wound dehiscence in two patients and these were resutured. The donor sites healed well in all patients leaving a small thigh scar and none needed scar revision. CONCLUSION: EAFH is a promising minimally-invasive technique performed with a small incision and achieved adequate length of fascial harvest.
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spelling pubmed-58596042018-03-23 Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited Naik, Abhijit Patel, Anamika Bothra, Nandini Panda, Lapam Naik, Milind N Rath, Suryasnata Indian J Ophthalmol Surgical Technique PURPOSE: To report endoscope-assisted fascia lata harvest (EAFH) as a minimally-invasive technique for correction of severe blepharoptosis. METHODS: This was a retrospective case series between January 2013 and April 2017. Medical records of all consecutive patients who underwent frontalis suspension by EAFH in the study period were reviewed and outcome was analyzed. RESULTS: Fourteen patients (10 males) were included in the study. Mean age of the group was 18.14 + 17.03 years (range 4-65 years) and 11 patients had simple congenital blepharoptosis. Blepharophimosis syndrome was seen in 3 patients. Eleven patients had bilateral blepharoptosis. The mean preoperative and postoperative MRD1 was –1.60 ± 0.87 mm and +2.12 ± 1.37 mm respectively. Mean lengths of the incision and fascial harvest were 2.25 ± 0.43 cm and 13.0 ± 2.35 cm (range 10-17 cm) respectively. The median follow-up of patients was 4.57 + 4.03 months (range 1-15 months). Complications included a wound dehiscence in two patients and these were resutured. The donor sites healed well in all patients leaving a small thigh scar and none needed scar revision. CONCLUSION: EAFH is a promising minimally-invasive technique performed with a small incision and achieved adequate length of fascial harvest. Medknow Publications & Media Pvt Ltd 2018-03 /pmc/articles/PMC5859604/ /pubmed/29480260 http://dx.doi.org/10.4103/ijo.IJO_819_17 Text en Copyright: © 2018 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Naik, Abhijit
Patel, Anamika
Bothra, Nandini
Panda, Lapam
Naik, Milind N
Rath, Suryasnata
Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title_full Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title_fullStr Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title_full_unstemmed Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title_short Endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: A minimally invasive approach revisited
title_sort endoscope-assisted harvest of autogenous fascia lata in frontalis suspension surgery: a minimally invasive approach revisited
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859604/
https://www.ncbi.nlm.nih.gov/pubmed/29480260
http://dx.doi.org/10.4103/ijo.IJO_819_17
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