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   Novel Technique of Small Incision Fascia Lata Harvesting without a Faciatome for Frontalis Suspension Procedure  
   
نویسنده Bahmani-Kashkouli Mohsen
منبع journal of current ophthalmology - 2008 - دوره : 20 - شماره : 3 - صفحه:45 -48
چکیده    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
کلیدواژه Fascia Lata ,Frontalis Suspension ,Ptosis
آدرس iran university of medical sciences, Rassoul Akram Hospital, Eye Research Center, ایران
پست الکترونیکی bahmanik@yahoo.com
 
     
   
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