{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T20:08:36Z","timestamp":1760472516171},"reference-count":16,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Ophthalmol Strabismus"],"published-print":{"date-parts":[[2017,9]]},"abstract":"\n Purpose:<\/jats:title>\n To evaluate the therapeutic benefits of frontalis suspension as a repeat intervention in congenital blepharoptosis.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Pediatric patients diagnosed as having congenital ptosis who had at least 2 years of postoperative follow-up were included in this retrospective study. A successful outcome was defined as a postoperative margin-reflex distance of 3 mm or greater. The chi-square, Student's\n t<\/jats:italic>\n , and Mann\u2013Whitney\n U<\/jats:italic>\n tests were used in comparisons.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Eighty-four eyes of 77 patients with a follow-up period of 8.4 \u00b1 0.7 years were included. The initial surgery was levator resection in 29 (34.5%) eyes and frontalis suspension in 55 (65.5%) eyes. Frontalis suspension was performed for all repeat interventions (n = 20). Surgical success was achieved in 61.9% of patients with single surgery (75.9% for levator resection vs 54.5% for frontalis suspension;\n P<\/jats:italic>\n = .06) and in 77.4% of patients following repeated surgeries (93.1% vs 69.1% for patients who initially underwent levator resection vs frontalis suspension, respectively;\n P<\/jats:italic>\n = .012). A higher success rate was associated with better preoperative levator function (\n P<\/jats:italic>\n = .01) and a higher margin-reflex distance (\n P<\/jats:italic>\n = .004), and was inversely proportional to ptosis severity (\n P<\/jats:italic>\n = .04).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Frontalis suspension as a repeat intervention for congenital blepharoptosis is associated with a further increase in long-term anatomic success rates and should be considered when initial procedures fail or remain inadequate.<\/jats:p>\n \n \n [\n J Pediatr Ophthalmol Strabismus<\/jats:italic>\n . 2017;54(5):320\u2013323.]\n <\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/01913913-20170801-01","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T18:28:49Z","timestamp":1505845729000},"page":"320-323","source":"Crossref","is-referenced-by-count":4,"title":["The Value of the Frontalis Suspension Procedure as a Repeat Intervention in Congenital Blepharoptosis"],"prefix":"10.3928","volume":"54","author":[{"given":"\u00d6zlem","family":"Ural","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet C.","family":"Mocan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugur","family":"Erdener","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-003-0127-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000014"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1955.00930010415017"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.11.1282"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(91)32150-X"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000242"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3341\/kjo.2012.26.1.1"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/112067210301300213"},{"key":"e_1_3_2_10_2","first-page":"79","article-title":"Frontalis suspension with polytetrafluorethylene for the treatment of blepharoptosis [article in Portuguese]","volume":"72","author":"Silv\u00e9rio J","year":"2009","unstructured":"Silv\u00e9rio J, Sugano DM, Lucci LM, Rehder JR. Frontalis suspension with polytetrafluorethylene for the treatment of blepharoptosis [article in Portuguese]. Arq Bras Oftalmol. 2009;72:79\u201383.","journal-title":"Arq Bras Oftalmol"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20060701-02"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2008.311"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.1995.tb00181.x"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(03)00466-5"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31815e72a3"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3182a74f44"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2012.09.010"}],"container-title":["Journal of Pediatric Ophthalmology & Strabismus"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.healio.com\/doiresolver?doi=10.3928\/01913913-20170801-01","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T07:41:26Z","timestamp":1683099686000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01913913-20170801-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.3928\/01913913-20170801-01"],"URL":"https:\/\/doi.org\/10.3928\/01913913-20170801-01","relation":{},"ISSN":["0191-3913","1938-2405"],"issn-type":[{"value":"0191-3913","type":"print"},{"value":"1938-2405","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}