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  • Bilateral Silicone Frontalis Suspension - University of Iowa
    This Richard Allen at the University of Iowa This video demonstrates a bilateral silicone frontalis suspension Marks have been made about each of the brows One corresponding to the lateral canthus, one to the medial canthus, and one half way between these two marks in a convenient wrinkle or 1 cm above the brow A stab incision is made with a 15 blade through each of the marks and then the
  • Silicone Sling in a Child - University of Iowa
    This is Richard Allen at the University of Iowa This video demonstrates placement of a silicone frontalis sling in a child with a history of unilateral congenital ptosis, s p failure of a previous levator resection The 15 blade is used to make an incision along the eyelid crease through the skin and orbicularis muscle
  • Revision of silicone frontalis sling - University of Iowa
    Transcript This is Richard Allen at the University of Iowa This video demonstrates revision of a previously placed silicone sling for recurrent ptosis The previous central incision above the brow is marked with a marking pen The mark is then incised with a 15 blade The incision is just through the dermis It is very important not to cut the sling during this maneuver as you would then need
  • Median Forehead Flap - University of Iowa
    The forehead flap is then raised A 15 blade is used to make an incision through the skin, subcutaneous fat, and frontalis muscle to the subgaleal plane which is superficial to the periosteum The monopolar cautery is used to dissect in this preperiosteal plane
  • Autogenous fascia harvest
    This is Richard Allen at the University of Iowa This video demonstrates harvesting of autogenous fascia for a frontalis sling in a patient with congenital ptosis A line has previously be drawn from the lateral knee to the anterior iliac crest An incision is made along the line inferiorly where one can palpate the inferior aspect of the muscle Dissection is then performed through the
  • Pediatric bilateral frontalis sling - University of Iowa
    Transcript This is Richard Allen at the University of Iowa This video demonstrates placement of a bilateral supramid sling in an 8 month old patient with blepharophimosis epicanthus inversus syndrome Three stab incisions are made above the brow, one corresponding to the medial canthus, one the lateral canthus and one half way between these two 1 cm above them An incision is then made along
  • Fascia frontalis sling - University of Iowa
    This video demonstrates placement of a fascia frontalis sling Fascia can be autogenous or obtained from the tissue bank The patient has history of a previous frontalis sling that has failed The previous incision sites will be used above the brow as well as across the eyelid The 15 blade is used to make stab incisions above the brow
  • Intraoperative details of silicone frontalis suspension
    Intraoperative details of silicone frontalis suspension Richard C Allen, MD, PhD Additional Notes: Length 02:20 Posted March 20, 2017 This is Richard Allen at the University of Iowa This video demonstrates the surgical details in placement of a silicone frontalis sling The patient has had a small blepharoplasty marked on each side Dissection is then carried out through the skin and





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