Frontalis suspension surgery to treat patients with essential blepharospasm and apraxia of eyelid opening-technique and results.
Head Face Med
; 10: 44, 2014 Oct 22.
Article
em En
| MEDLINE
| ID: mdl-25338619
ABSTRACT
INTRODUCTION:
We describe the results of 15 patients suffering from essential blepharospasm with apraxia of eyelid opening who underwent frontalis suspension surgery. MATERIAL ANDMETHODS:
Patients with apraxia of eyelid opening and unresponsive to botulinum toxin injections were studied. Bilateral frontalis suspension surgery was performed (sling operation) using polytetrafluoroethylene (Gore-Tex®) sutures. The patients reported the degree of improvement using a subjective rating scale to evaluate the benefit of the operation at two times after surgery (0-10 days and 180-360 days).RESULTS:
The patients reported a high degree of subjective improvement. In the early postoperative period (0-10 days) the mean degree of subjective improvement was 74.6% (standard deviation (SD) 26.4%). At 180-360 days after surgery the mean improvement was 70.0% (SD 26.7%). Small hematomas of the upper lid occurred postoperatively in all patients. Other complications were suture extrusions (9.1%), suture granulomas (6.1%), lacrimation (5.0%) and local infections (7.5%). Postoperatively, all patients needed additional botulinum toxin injections for optimal outcome.CONCLUSION:
Frontalis suspension surgery is a minimally invasive and effective treatment option for apraxia of eyelid opening in patients with essential blepharospasm unresponsive to botulinum toxin injections alone.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Apraxias
/
Blefarospasmo
/
Blefaroplastia
/
Pálpebras
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article