Oral abstract presentation times
11th Rapid Fire
11th Oral
12th Rapid Fire
Abstract ID: 26-484
What to Do When Everything Has Been Done: Treatment of Recurrent Ptosis
Author: Daniel Casanave Base Hospital / Institution: World Vision Clinic
Presentation Type: Rapid Fire Presentation Session: Eyelid Surgery & TumorsDate: 12th SeptemberTime: 08.09
Purpose
To demonstrate the effectiveness of the frontalis flap technique and its aesthetic outcomes in patients with recurrent, multiply operated congenital ptosis, in whom extensive scarring of the skin, orbicularis muscle, levator muscle, and conjunctiva makes further functional and aesthetic correction particularly challenging.
Methods
Fifteen patients of different ages with congenital ptosis and a history of more than one previous unsuccessful surgical procedure were included. All patients presented with persistent or recurrent ptosis and unsatisfactory functional and aesthetic outcomes after several surgeries. Each patient underwent surgical correction using the frontalis flap technique. Postoperative assessment focused on eyelid height, contour, symmetry, functional improvement, aesthetic outcome, and corneal status.
Results
All patients demonstrated significant improvement in upper eyelid function, with stable and adequate eyelid elevation. Good to excellent aesthetic outcomes were achieved, including satisfactory eyelid contour and symmetry, without visible scarring. No postoperative corneal complications or major adverse events occurred during follow-up, with strict postoperative medication and ocular lubrication.
Conclusion
The frontalis flap technique is a safe and effective option for managing recurrent or multiply operated congenital ptosis. It provides reliable functional restoration and stable eyelid elevation while achieving favorable aesthetic outcomes. Even in extensively scarred eyelids, predictable correction can be obtained. Careful postoperative monitoring and strict control of corneal health remain essential to ensure optimal long-term results.