دورية أكاديمية
أعرض في EDS

Outcome of silicone sling frontalis suspension in children with simple congenital and complex ptosis.

التفاصيل البيبلوغرافية
العنوان: Outcome of silicone sling frontalis suspension in children with simple congenital and complex ptosis.
المؤلفون: Landau Prat D; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA.; Division of Ophthalmology, Goldschleger Eye Institute and the Sheba Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.. Electronic address: daphna.landau@gmail.com., Zhao CS; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA., Ramakrishnan M; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA., Revere KE; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA., Katowitz WR; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA., Katowitz JA; Division of Ophthalmology, Children's Hospital of Philadelphia and the Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA.
المصدر: Canadian journal of ophthalmology. Journal canadien d'ophtalmologie [Can J Ophthalmol] 2024 Aug; Vol. 59 (4), pp. 264-269. Date of Electronic Publication: 2023 Jun 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 0045312 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1715-3360 (Electronic) Linking ISSN: 00084182 NLM ISO Abbreviation: Can J Ophthalmol Subsets: MEDLINE
أسماء مطبوعة: Publication: June 2011- : Oxford, England : Elsevier
Original Publication: Montreal, Canadian Ophthalmological Society.
مواضيع طبية MeSH: Oculomotor Muscles*/surgery , Oculomotor Muscles*/physiopathology , Blepharoptosis*/surgery , Blepharoptosis*/congenital , Blepharoptosis*/physiopathology , Blepharoplasty*/methods , Eyelids*/surgery , Eyelids*/abnormalities, Humans ; Female ; Retrospective Studies ; Male ; Infant ; Child, Preschool ; Treatment Outcome ; Follow-Up Studies ; Child ; Jaw Abnormalities/surgery ; Blepharophimosis/surgery ; Blepharophimosis/physiopathology ; Silicone Elastomers ; Skin Abnormalities/surgery ; Ophthalmoplegia, Chronic Progressive External/surgery ; Ophthalmoplegia, Chronic Progressive External/physiopathology ; Reoperation ; Urogenital Abnormalities/surgery ; Congenital Cranial Dysinnervation Disorders ; Ophthalmoplegia ; Reflex, Abnormal
مستخلص: Objective: To compare the outcome of silicone sling frontalis suspension (FS) surgery in children with simple congenital ptosis and children with complex ptosis.
Design: A retrospective cohort study.
Participants: All pediatric patients who underwent silicone sling FS surgery between 2009 and 2020 at a single centre.
Methods: Patients were divided based on etiology into simple congenital ptosis and complex congenital ptosis. Pre- and postoperative margin-to-reflex distance (MRD 1 ) measurements were determined from clinical photographs. Main outcome measures were assessed as differences in improvement in eyelid height and reoperation rate between the groups.
Results: Two-hundred and eight children were included: 139 simple and 69 complex cases, with 83 females (40%). Mean (±SD) age at intervention was 1.9 ± 2.9 years. Complex cases included blepharophimosis epicanthus inversus syndrome (n = 35), Marcus Gunn jaw-winking syndrome (n = 12), oculomotor palsy (n = 8), congenital fibrosis of extraocular muscles (n = 3), chronic progressive external ophthalmoplegia (n = 3), and others. Mean MRD 1 improved by an average of 1.6 mm in both groups. Repeat ptosis correction was performed in 50 of 171 patients (29%) without a history of failed ptosis procedures, and this rate was similar between simple and complex cases. Children under 3 years of age had higher rates of repeat ptosis repair than older children (n = 59 of 175 [34%] vs n = 5 of 33 [15%]; p = 0.03, χ 2 test).
Conclusions: Silicone sling FS has a favourable outcome in 70% of pediatric patients. Preoperative and final MRD 1 and reoperation rates were similar between both groups, suggesting that despite the higher complexity in atypical cases, the outcome is similar.
(Copyright © 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.)
المشرفين على المادة: 0 (Silicone Elastomers)
SCR Disease Name: Blepharophimosis, Ptosis, and Epicanthus Inversus; Marcus Gunn phenomenon; congenital fibrosis of the extraocular muscles
تواريخ الأحداث: Date Created: 20230626 Date Completed: 20240718 Latest Revision: 20240718
رمز التحديث: 20240719
DOI: 10.1016/j.jcjo.2023.06.002
PMID: 37364855
قاعدة البيانات: MEDLINE
الوصف
تدمد:1715-3360
DOI:10.1016/j.jcjo.2023.06.002