J Korean Ophthalmol Soc.  2004 Aug;45(8):1227-1232.

Complications of Autogenous Fascia Lata Harvesting on the Distal Thigh

• Kim JS
• Ahn M

Abstract

PURPOSE
Autogenous fascia lata of distal thigh is the best material for repairing ptosis with poor levator function. The purpose of this study is to evaluate the complications associated with autogenous fascia lata harvesting on the distal thigh for frontalis suspension surgery. METHODS: We reviewed the medical charts of ptosis patients who underwent frontalis suspension surgery with autogenous fascia lata from March 2001 to March 2003. Fifteen patients, with at least 1-year follow-up, were included. RESULTS: Postoperative functional complications related with walking were pain on walking in 10 patients (67%), limping in 6 (40%), muscle weakness in 2 (12%), and limitation of knee motion in 1 (7%). Complications related- with the wound were tenderness in 8 patients (53%), an unsightly scar on harvesting site in 8 (53%), inflammation in 1 (7%), muscle herniation in 1 (7%), and hypoesthesia around the wound in 1 (7%). CONCLUSIONS: Except for the scar, most of postoperative complications were resolved during the early follow-up period. The only long-term complication was the cosmetic problem of an unsightly scar on the harvesting site. For which careful suture on the wound site and fascia lata harvesting on the proximal thigh are recommended.

Keyword

Autogenous fascia lata; Complications; Distal thigh; Proximal thigh; Scar

MeSH Terms

Cicatrix
Fascia Lata*
Fascia*
Follow-Up Studies
Humans
Hypesthesia
Inflammation
Knee
Muscle Weakness
Postoperative Complications
Sutures
Thigh*
Walking
Wounds and Injuries