A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

Gustavo Savino, Erika Mandarà, Luigi Calandriello, Anna Dickmann, Sergio Petroni

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: To investigate the efficacy of a one-stage early correction of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES), using bovine pericardium derived membrane (TUTOPATCH®) for the frontalis suspension. Methods: We prospectively studied 12 eyes from 6 patients (median age 14 months) affected by BPES with severe ptosis. All patients were submitted to a one-stage early correction of ptosis (frontalis suspension with TUTOPACH®) and telecanthus and epicanthus inversus. Upper margin reflex distance (MRD), nasal inner intercanthal distance (IICD), horizontal fissure length (HFL), and IICD/HFL ratio were evaluated using photographs. Results: The Wilcoxon signed-rank test showed a statistically significant difference between pre- and post-operative MRD, IICD, HFL, and the IICD/HFL ratio. Conclusion: An early TUTOPATCH-assisted frontalis suspension, together with the correction of telecanthus and epicanthus inversus, is an effective procedure for BPES cases with severe ptosis.

Original languageEnglish
Pages (from-to)186-191
Number of pages6
JournalOrbit
Volume34
Issue number4
DOIs
Publication statusPublished - Aug 1 2015

Fingerprint

Suspensions
Reflex
Pericardium
Nonparametric Statistics
Nose
Membranes
Blepharophimosis, Ptosis, and Epicanthus Inversus
Telecanthus

Keywords

  • Blepharophimosis-ptosis-epicanthus inversus syndrome
  • bovine pericardium derived membrane (TUTOPATCH®)
  • eyelid frontalis suspension

ASJC Scopus subject areas

  • Ophthalmology

Cite this

A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings. / Savino, Gustavo; Mandarà, Erika; Calandriello, Luigi; Dickmann, Anna; Petroni, Sergio.

In: Orbit, Vol. 34, No. 4, 01.08.2015, p. 186-191.

Research output: Contribution to journalArticle

Savino, Gustavo ; Mandarà, Erika ; Calandriello, Luigi ; Dickmann, Anna ; Petroni, Sergio. / A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings. In: Orbit. 2015 ; Vol. 34, No. 4. pp. 186-191.
@article{460c08d50a044b76950fd6919860c48e,
title = "A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings",
abstract = "Purpose: To investigate the efficacy of a one-stage early correction of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES), using bovine pericardium derived membrane (TUTOPATCH{\circledR}) for the frontalis suspension. Methods: We prospectively studied 12 eyes from 6 patients (median age 14 months) affected by BPES with severe ptosis. All patients were submitted to a one-stage early correction of ptosis (frontalis suspension with TUTOPACH{\circledR}) and telecanthus and epicanthus inversus. Upper margin reflex distance (MRD), nasal inner intercanthal distance (IICD), horizontal fissure length (HFL), and IICD/HFL ratio were evaluated using photographs. Results: The Wilcoxon signed-rank test showed a statistically significant difference between pre- and post-operative MRD, IICD, HFL, and the IICD/HFL ratio. Conclusion: An early TUTOPATCH-assisted frontalis suspension, together with the correction of telecanthus and epicanthus inversus, is an effective procedure for BPES cases with severe ptosis.",
keywords = "Blepharophimosis-ptosis-epicanthus inversus syndrome, bovine pericardium derived membrane (TUTOPATCH{\circledR}), eyelid frontalis suspension",
author = "Gustavo Savino and Erika Mandar{\`a} and Luigi Calandriello and Anna Dickmann and Sergio Petroni",
year = "2015",
month = "8",
day = "1",
doi = "10.3109/01676830.2015.1015146",
language = "English",
volume = "34",
pages = "186--191",
journal = "Orbit",
issn = "0167-6830",
publisher = "Informa Healthcare",
number = "4",

}

TY - JOUR

T1 - A Modified One-Stage Early Correction of Blepharophimosis Syndrome Using Tutopatch Slings

AU - Savino, Gustavo

AU - Mandarà, Erika

AU - Calandriello, Luigi

AU - Dickmann, Anna

AU - Petroni, Sergio

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Purpose: To investigate the efficacy of a one-stage early correction of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES), using bovine pericardium derived membrane (TUTOPATCH®) for the frontalis suspension. Methods: We prospectively studied 12 eyes from 6 patients (median age 14 months) affected by BPES with severe ptosis. All patients were submitted to a one-stage early correction of ptosis (frontalis suspension with TUTOPACH®) and telecanthus and epicanthus inversus. Upper margin reflex distance (MRD), nasal inner intercanthal distance (IICD), horizontal fissure length (HFL), and IICD/HFL ratio were evaluated using photographs. Results: The Wilcoxon signed-rank test showed a statistically significant difference between pre- and post-operative MRD, IICD, HFL, and the IICD/HFL ratio. Conclusion: An early TUTOPATCH-assisted frontalis suspension, together with the correction of telecanthus and epicanthus inversus, is an effective procedure for BPES cases with severe ptosis.

AB - Purpose: To investigate the efficacy of a one-stage early correction of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES), using bovine pericardium derived membrane (TUTOPATCH®) for the frontalis suspension. Methods: We prospectively studied 12 eyes from 6 patients (median age 14 months) affected by BPES with severe ptosis. All patients were submitted to a one-stage early correction of ptosis (frontalis suspension with TUTOPACH®) and telecanthus and epicanthus inversus. Upper margin reflex distance (MRD), nasal inner intercanthal distance (IICD), horizontal fissure length (HFL), and IICD/HFL ratio were evaluated using photographs. Results: The Wilcoxon signed-rank test showed a statistically significant difference between pre- and post-operative MRD, IICD, HFL, and the IICD/HFL ratio. Conclusion: An early TUTOPATCH-assisted frontalis suspension, together with the correction of telecanthus and epicanthus inversus, is an effective procedure for BPES cases with severe ptosis.

KW - Blepharophimosis-ptosis-epicanthus inversus syndrome

KW - bovine pericardium derived membrane (TUTOPATCH®)

KW - eyelid frontalis suspension

UR - http://www.scopus.com/inward/record.url?scp=84938298642&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938298642&partnerID=8YFLogxK

U2 - 10.3109/01676830.2015.1015146

DO - 10.3109/01676830.2015.1015146

M3 - Article

C2 - 26043072

AN - SCOPUS:84938298642

VL - 34

SP - 186

EP - 191

JO - Orbit

JF - Orbit

SN - 0167-6830

IS - 4

ER -