Técnica de fijación frontal en cirugía de ptosis palpebral mediante banda de silicona / Silicone band brow fixation in ptosis surgery

RESUMEN Se presentó un caso operado de ptosis palpebral severa del ojo izquierdo, en un paciente de 83 años de edad, chofer profesional. el mismo fue corregido mediante la técnica de Fox, fijando el párpado superior al músculo frontal con una banda de silicona de 1 mm de ancho. Se presentaron los buenos resultados de esta cirugía correctiva en el trans-operatorio y post-operatorio de 7 días y al mes. Se mostraron resultados satisfactorios visual y estético con el uso de la misma. No se reportó reacción adversa a la banda de silicona. Se recomienda extender el uso de esta técnica a todos los servicios de la provincia. Continuar el perfeccionamiento de la misma en el servicio (AU).

ABSTRACT An 83 years old patient, professional driver, operated of a severe ptosis in the left eye, is corrected by Fox procedure, fixating the upper eyelid to the frontal muscle with a silicone band of 1 mm. The good corrective results, during surgery, after that, at 7 days and at a month, are showed as a great achievement in visual and aesthetic fields. There was not allergic reaction to the silicone material. We recommend to extend the use of this procedure to all provinces services and to continue the improvement of the procedure in our service (AU).

Frontalis muscle transfer for the treatment of upper eyelid ptosis.

The management of severe blepharoptosis is problematic. A variety of surgical approaches do not yield good results especially in the presence of poor levator function. In this report, direct frontalis muscle transfer was used for the treatment of severe blepharoptosis with poor levator function. Twenty-one patients with severe blepharoptosis and poor levator function were operated during the period from 1995 to 1998 using this technique. Excellent and good results were achieved in 8 and 13 patients (38.1% and 61.9%), respectively. Two patients (9.5%) had complications. One was entropion and the other was hematoma, both of which were improved by reoperations. All patients had lagophthalmos postoperatively which subsided one month after surgery without complication. The patients were all satisfied.