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:: Volume 20, Issue 3 (Iranian Journal of Ophthalmology 2008) ::
2008, 20(3): 45-48 Back to browse issues page
A Novel Technique of Small Incision Fascia Lata Harvesting without a Faciatome for Frontalis Suspension Procedure
Mohsen Bahmani-Kashkouli Dr. *
, bahmanik@yahoo.com
Abstract:   (13908 Views)

Purpose : To introduce a small incision technique of fascia lata (FL) harvesting for frontalis suspension blepharoptosis procedure.

Methods : A skin incision was made in a line between the lateral condyle of the tibia and the anterior superior iliac crest, starting 4- 5 cm above the knee and extending upward 2- 2.5 cm . Approximately 8 cm superior to the first incision, a second skin incision was made with the same length. The FL was dissected from subcutaneous tissue from 1 cm superior to superior border of upper incision to 1 cm inferior to inferior border of lower incision. A 15 mm x 5- 10 mm strip of FL was excised. The fascial defect was left open. Subcutaneous and deep layers were closed with three 4-0 plain catgut sutures and the skin with subcuticular 5-0 prolene sutures.

Results : The technique was used in 22 patients from 4 to 47 years of age (Mean: 18.29±14.20) for 34 frontalis sling procedures. Mean follow-up time was 6.17±3.21 (3-16) months. Wound hematoma (1/22, 4.5%), wound discharge (2/22, 9%), pain at rest (100%, up to 4 days), pain on walking (20/22, 90% up to 3 weeks), limping (13/22, 59.1% up to 7 days) were the main postoperative complications. No significant skin scar was observed and none of the patients needed scar revision.

Conclusion : Small incision FL harvesting procedure is a good alternative method when the FL stripper is not available.

  

Iranian Journal of Ophthalmology 200820(3):45-48
Keywords: Fascia Lata, Frontalis Suspension, Ptosis
Full-Text [PDF 206 kb]   (2943 Downloads)    
Type of Study: Original | Subject: General
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Bahmani-Kashkouli M. A Novel Technique of Small Incision Fascia Lata Harvesting without a Faciatome for Frontalis Suspension Procedure. Iranian Journal of Ophthalmology. 2008; 20 (3) :45-48
URL: http://irjo.org/article-1-182-en.html


Volume 20, Issue 3 (Iranian Journal of Ophthalmology 2008) Back to browse issues page
مجله چشم پزشکی ایران Iranian Journal of Ophthalmology
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