Evidence map›Paper›PMID 38454351›Full record

ArticleBMC ophthalmology2024

Sling for the sling: a new technique for long-term correction of severe congenital ptosis.

Ahmed N Kotb, Noha M Soliman, Ahmer Raza, Noran A Nour, Hala K Mattout

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Ahmed N Kotb *Ophthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.ORCID http://orcid.org/0000-0003-1717-9601
Noha M Soliman *Institute of Ophthalmology, University College London, London, UK. smgxoli@ucl.ac.uk.ORCID http://orcid.org/0000-0002-0002-3320
Ahmer RazaMoorfields Eye Hospital NHS Foundation Trust, London, UK.
Noran A NourFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Hala K MattoutOphthalmology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.ORCID http://orcid.org/0000-0003-4809-6745
Moorfields Eye Hospital NHS Foundation Trust · GBZagazig University · EGAin Shams University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere congenital ptosis poses a complex challenge for oculoplastic surgeons, requiring meticulous surgical intervention to restore eyelid function and improve aesthetic outcomes mainly by using frontalis sling approach. A crucial issue in frontalis sling surgeries is the sustainability of effect. PURPOSE: This retrospective study reports the outcomes of two surgical techniques for treating severe congenital ptosis in the paediatric age group: Silicon rods ptosis sling and a novel technique involving the use of Silicon rods with green braided polyester (Ethibond) sutures to secure the rods in place "sling for the sling".

methodsThe medical records of children who underwent frontalis suspension were reviewed in a retrospective fashion. We identified two groups; the first group (20 patients: 35 eyelids) had the traditional frontalis suspension surgery using silicone suspension set, the second group (14 patients: 25 eyelids) was operated using the new "sling for sling" technique. We used the postoperative marginal reflex distance-1 (MRD-1) as the primary outcome measure while the frequency of both wound related complications and recurrence were considered as secondary outcome measures. Post operative data were collected and compared after 1 month, 6 months, 12 months, and 18 months.

resultsPreliminary results indicate promising outcomes for both techniques, with significant improvement in eyelid elevation observed in both groups. However, the novel technique using Silicon rods with Ethibond sutures demonstrated enhanced sustainability, leading to a more durable outcome with significantly less recurrence.

conclusionThis study highlights the potential benefits of the novel technique in treating severe congenital ptosis and introduces an innovative approach to Silicone rods fixation to achieve a long-term corrective effect.

Indexed as

BlepharoplastyBlepharoptosisChildHumansOculomotor MusclesRetrospective StudiesSiliconSiliconesSuture TechniquesTreatment OutcomeSiliconSiliconesCongenital ptosisEthibond suturesSilicon rods ptosis slingSling for sling

Identifiers

PMID38454351
PMCPMC10921586
OpenAlexW4392544686

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.