Abstract

Children with congenital ptosis and poor levator function are commonly first treated with silastic-sling frontalis suspension. Silastic can be replaced with autogenous fascia lata (AFL) at age 4-years, when leg length is sufficient for harvesting fascia. We sought to determine if age at initial surgery affects silastic sling longevity, anecdotally hypothesizing that delaying surgery may increase likelihood of reaching AFL age.

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