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Plastic Surgery International
Volume 2010 (2010), Article ID 609462, 5 pages
Clinical Study

The Long-Term Results of Frontalis Suspension Using Autogenous Fascia Lata in Children with Congenital Ptosis under 3 Years Old

Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Capa-Sehremini, 34390 Istanbul, Turkey

Received 30 June 2009; Accepted 3 October 2009

Academic Editor: Hirohiko Kakizaki

Copyright © 2010 Lale Kozer Bilgin and Baris Yeniad. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To describe the long-term results of frontalis suspension using autogenous fascia lata in children with congenital ptosis under 3 years old. Methods. Forty three-eyes of 35 patients were enrolled in the study. Frontalis suspension using autogenous fascia lata was performed in all patients. The postoperative eyelid level, ptosis recurrence, visual acuity, and cosmetic results were evaluated. Results. The mean age of the patients was 1 6 . 8 ± 9 months (7–36 months). The mean follow-up time was 5 2 . 8 ± 1 5 months (14–95 months). All patients had good (ptosis < 2  mm) or moderate (2-3 mm ptosis) eyelid level after the operation. All patients achieved satisfactory cosmetic results. Succesfull harvesting was performed in all cases and no additional materials or surgical manipulation were needed during the surgery. Conclusion. Frontalis suspension using autogenous fascia lata can be used in children under 3 years old without harvesting problems. Surgical experience and good knowledge of anatomy are important factors for successful results after the surgery.