Abstract
Managing congenital ptosis usually employs either a frontalis sling or levator resection. Each surgery has its advantages and disadvantages. Unilateral, poor levator function congenital ptosis is particularly difficult to manage. Successful surgery has been described with both a unilateral and bilateral frontalis sling in these cases. The purpose of this chapter is to describe the management of unilateral congenital ptosis with a new emphasis on supramaximal levator resection.
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Video 17.1
Pediatric levator advancement. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Pediatric-levator-advancement.htm (MP4 205117 kb)
Video 17.2
Levator advancement for congenital ptosis. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/13/99-levator-adv-congenital-ptosis.htm (MP4 204296 kb)
Video 17.3
Demonstration of the orbital septum in a pediatric patient. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/atlas-video/pediatric-orbital-septum.htm (MPEG 79596 kb)
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Bernardini, F.P., Earl Rathbun, J. (2018). Anterior Approach to Correction of Levator Maldevelopment Ptosis with a New Emphasis on Supramaximal Levator Resection for Poor-Function Ptosis. In: Levine, M., Allen, R. (eds) Manual of Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-74512-1_17
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DOI: https://doi.org/10.1007/978-3-319-74512-1_17
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