SURGICAL OUTCOMES OF FRONTALIS SUSPENSION USING AUTOGENOUS FASCIA LATA FOR CONGENITAL PTOSIS AT HUE ODONTO-MAXILLOFACIAL HOSPITAL

Congenital ptosis may affect both visual development and facial aesthetics, especially in patients with moderate-to-severe ptosis and poor levator function. This prospective descriptive study aimed to evaluate the clinical characteristics and short-term surgical outcomes of frontalis suspension using autogenous fascia lata. The study included 31 patients with moderate or severe congenital ptosis and poor upper eyelid levator function who underwent surgery at Hue Odonto- Maxillofacial Hospital from January 2024 to October 2024. The mean age was 12.3 ± 6.4 years, and males accounted for 48.3% of the study population. Unilateral ptosis was the most common presentation, accounting for 67.7% of cases. At 1 month after surgery, 93.5% of patients achieved good overall surgical outcomes, and these results remained stable at the 3-month follow-up. Good functional correction and good aesthetic outcomes were each observed in 90.3% of patients at both 1 and 3 months postoperatively. The complication rate was low, with transient exposure conjunctivitis in 3.2% of patients and under correction in 6.4%. No cases of wound infection, graft extrusion, granuloma formation, or donor-site hematoma were observed. In this study, frontalis suspension using autogenous fascia lata was associated with satisfactory short-term functional and aesthetic outcomes and a low rate of postoperative complications in patients with congenital ptosis and poor levator function. Further studies with larger sample sizes, comparative designs, and longer follow-up periods are needed to better evaluate the long-term outcomes of this surgical technique.