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Frontalis Sling

  • Ying Chen
  • Adam C. Weber
  • Douglas P. Marx
  • Richard C. Allen
  • Mark R. Levine
Chapter

Abstract

Frontalis suspension is often reserved for cases of congenital ptosis with poor levator function and progressive myogenic ptosis in the adult. Various procedures have been proposed throughout the years to attain optimal function and cosmesis. In addition, various materials for the suspension material have been promulgated. The purpose of this chapter is to describe the preferred procedures and materials of the authors for poor levator function congenital ptosis and progressive myogenic ptosis in the adult.

Keywords

Congenital ptosis Frontalis sling Frontalis suspension Progressive myogenic ptosis Chronic progressive external ophthalmoplegia (CPEO) Oculopharyngeal muscular dystrophy (OPMD) Myotonic dystrophy Autogenous fascia lata Autogenous fascia lata graft 

Notes

Acknowledgments

The authors have no funding, financial relationships, or conflicts of interest to disclose. All subjects involved in the study cited in Part I gave informed consent for the treatment described.

Supplementary material

419986_5_En_18_MOESM1_ESM.mp4 (242.8 mb)
Video 18.1 Fascia frontalis sling (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Fascia-frontalis-sling.htm (MP4 248608 kb))
419986_5_En_18_MOESM2_ESM.mp4 (108 mb)
Video 18.2 Pediatric bilateral frontalis sling (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Peds-bilateral-frontalis-sling.htm (MP4 110593 kb))
419986_5_En_18_MOESM3_ESM.mp4 (145.9 mb)
Video 18.3 Silicone frontalis sling for congenital ptosis (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/5/6-silicone-sling-child.htm (MP4 149411 kb))
419986_5_En_18_MOESM4_ESM.mp4 (135.3 mb)
Video 18.4 Bilateral silicone frontalis suspension (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Bilateral-Silicone-Frontalis-Suspension.htm (MP4 138556 kb))
419986_5_En_18_MOESM5_ESM.mp4 (175 mb)
Video 18.5 Revision of silicone frontalis sling (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Revision-silicone-frontalis-sling.htm (MP4 179241 kb))
419986_5_En_18_MOESM6_ESM.mp4 (113.7 mb)
Video 18.6 Autogenous fascia harvest (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Autogenous-fascia-harvest.htm (MP4 116406 kb))
419986_5_En_18_MOESM7_ESM.mp4 (100.1 mb)
Video 18.7 Close-up of autogenous fascia harvest (Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Closeup-autogenous-fascia-harvest.htm (MP4 102511 kb))

Suggested Readings

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ying Chen
    • 1
  • Adam C. Weber
    • 2
  • Douglas P. Marx
    • 3
  • Richard C. Allen
    • 4
  • Mark R. Levine
    • 5
    • 6
    • 7
  1. 1.Department of OphthalmologyBascom Palmer Eye Institute, University of Miami Health SystemsMiamiUSA
  2. 2.Department of OphthalmologyCullen Eye Institute, Baylor College of MedicineHoustonUSA
  3. 3.Department of OphthalmologyUniversity of UtahSalt Lake CityUSA
  4. 4.Department of OphthalmologyCullen Eye Institute, Baylor College of MedicineHoustonUSA
  5. 5.Case Western Reserve University School of MedicineClevelandUSA
  6. 6.Department of OphthalmologyUniversity Hospitals of ClevelandClevelandUSA
  7. 7.Cleveland Clinic FoundationClevelandUSA

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