Pediatric Blepharoptosis

• Published in: Seminars in plastic surgery Vol. 31; no. 1; pp. 058 - 064
• Main Authors: Jubbal, Kevin T., Kania, Katarzyna, Braun, Tara L., Katowitz, William R., Marx, Douglas P.
• Format: Journal Article
• Language: English
• Published: 333 Seventh Avenue, New York, NY 10001, USA Thieme Medical Publishers 01-02-2017
• Series: Oculofacial Plastic and Reconstructive Surgery
• Subjects: Review; Review Article; blepharoptosis; pediatric ptosis; droopy eyelid
• ISSN: 1535-2188; 1536-0067
• DOI: 10.1055/s-0037-1598631

Abstract
Congenital blepharoptosis, caused by levator muscle dysgenesis, presents at birth and may lead to disturbed visual development and function. Other causes of ptosis in pediatric patients can be myogenic, neurogenic, mechanical, or traumatic. Timely correction is, therefore, critical, and careful preoperative planning and intraoperative considerations are crucial to achieve optimal outcomes and minimize potential complications. The various surgical techniques, including the frontalis suspension or sling, levator resection and advancement, Müller's muscle conjunctival resection (the Putterman procedure), and modified Fasanella-Servat procedure are each associated with distinct indications, benefits, and drawbacks, necessitating a unique tailored approach to each surgical candidate.