Advantage of Dynamic Direct Frontalis Muscle Transfer for the Surgical Correction of Severe Blepharoptosis

Dr. Tasneem Alhaj F.; Dr. Vittal Nayak I.; Dr. Mohammad Mehdi Raji; Dr. M S Mirdehghan

Volume : V, Issue : IV, April - 2016

Advantage of Dynamic Direct Frontalis Muscle Transfer for the Surgical Correction of Severe Blepharoptosis

Dr. Tasneem Alhaj F. , Dr. Vittal Nayak I. , Dr. Mohammad Mehdi Raji, Dr. M S Mirdehghan

Abstract :

<p>&nbsp;Blepharoptosis is a common complaint of eyelid disorder. Frontalis suspension is a new method and the surgery of choice for congenital or acquired blepharoptosis with poor levator function (less than 4 mm). Autologous materials frequently used for frontalis suspension include fascia lata, temporalis fascia, and palmaris longus tendon. Synthetic materials used for frontalis suspension include polypropylene, monofilament nylon, polyfilament cable-type suture, polybutylate coated aided polyester, polyester fier, expanded polytetrafloroethylene (ePTFE), and silicone. Each of these materials has its own advantages and disadvantages. Direct frontalis muscle flap procedure is a dynamic method of correction of severe ptosis, which is safe, effective, and stable with minimal complications and has great outcome over time, compared to traditional frontalis sling procedure.</p>