Early results of the frontalis muscle flap technique for the treatment of congenital ptosis

Because congenital ptosis is associated with poor levator function, surgica l therapy frequently relies on the frontalis muscle to elevate the upper ey elid. Many current techniques employ alloplastic or autogenous materials, w ith their inherent advantages and disadvantages, to link the frontalis musc le to the eyelid.(1-6) However, autogenous tissues remain the material of c hoice. We describe an autogenous frontalis muscle nap technique and a retro spective review of our initial 5 cases. The operation improved the ptosis i n all 5 cases, producing an excellent Linkage between the frontalis muscle and the upper eyelid. Good elevation and smooth contour of the upper eyelid margins were achieved.