Effect of Suturing the Silicone Rod to the Tarsal Plate and the Suture Material Used on Success of Frontalis Suspension Surgery

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dc.contributor.authorButtanri, Ibrahim Bulent
dc.contributor.authorSerin, Didem
dc.contributor.authorKarslioglu, Safak
dc.contributor.authorAkbaba, Muslime
dc.contributor.authorAri, Seyhmus
dc.contributor.authorFazil, Korhan
dc.date.accessioned2024-04-24T17:08:17Z
dc.date.available2024-04-24T17:08:17Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose: To evaluate the effect of suturing the silicone rod to the tarsal plate and the suture material used in suturing on surgical success of frontalis suspension for congenital ptosis. Methods: Eighty eyes of 56 consecutive patients who underwent frontalis suspension surgery using silicone rods for congenital ptosis between 2005 and 2011 were included in this retrospective study. The surgical results of eyes were compared, in which silicone had not been sutured to the tarsal plate (group 1), with those sutured with monofilament polypropylene suture (group 2), and those sutured with polybutylate-coated braided polyester suture (group 3). Surgical success indicated that the postoperative eyelid position was maintained within 1 mm of the normal eyelid position, that is, 1 mm below the superior limbus in bilateral cases and the same level with the other eyelid in unilateral cases, in the primary position of gaze. Postoperative eyelid level beyond these limits was defined as surgical failure. Results: The mean follow up was 16.3 months (6-38 months) and the mean age was 5.48 years (1-24 years). Thirty were male and 26 were female patients. Surgical failure occurred in 9 of 18 (50%) cases in group 1, in 5 of 24 (20.8%) cases in group 2, and in 5 of 38 (13%) cases in group 3 during the follow-up period after adequate eyelid elevation had been achieved just after the operation. The difference between surgical success rates in group 1 and group 2 (p = 0.047) and group 1 and group 3 (p = 0.003) was statistically significant. However, the difference between group 2 and group 3 did not reach statistical significance. Conclusions: Suturing the silicone rod to the tarsal plate increases the surgical success rates of frontalis suspension surgery for congenital ptosis. Suturing with polybutylate-coated braided polyester, even though statistically insignificant, seems to be more effective than suturing with monofilament polypropylene. (Ophthal Plast Reconstr Surg 2013;29:98-100)en_US
dc.identifier.doi10.1097/IOP.0b013e31827a0068
dc.identifier.endpage100en_US
dc.identifier.issn0740-9303
dc.identifier.issn1537-2677
dc.identifier.issue2en_US
dc.identifier.pmid23235515
dc.identifier.scopus2-s2.0-84875220916
dc.identifier.scopusqualityQ2
dc.identifier.startpage98en_US
dc.identifier.urihttps://doi.org/10.1097/IOP.0b013e31827a0068
dc.identifier.urihttps://hdl.handle.net/11468/17284
dc.identifier.volume29en_US
dc.identifier.wosWOS:000316057400018
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofOphthalmic Plastic and Reconstructive Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleEffect of Suturing the Silicone Rod to the Tarsal Plate and the Suture Material Used on Success of Frontalis Suspension Surgeryen_US
dc.titleEffect of Suturing the Silicone Rod to the Tarsal Plate and the Suture Material Used on Success of Frontalis Suspension Surgery
dc.typeArticleen_US

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