Supplies needed for frontalis sling ptosis repair.
A variety of approaches can be used for frontalis sling ptosis repair. The following supplies can be used: The fascia lata can be passed with the needle from the following system, actually designed for orthopedic procedures: Outside-in Meniscal Repair System, Meniscus Mender II. This is manufactured by: Nephew, Inc. Andover, MA 01810 USA. (978)749-1000 (978)749-1108 fax. http://www.smith-nephew.com The fascia lata can be autologous. Another possibility is to use: Tutoplast Processed Fascia Lata 0.2 x 18 cm Solvent Dehydrated Human Fascia manufactured by and ordered from: IOP Inc. 3184-B Airway Ave., Costa Mesa, CA 92626 (714)549-1185 (714)549-0557 fax (800)535-3545 http://www.iopinc.com Processed by: RTI Biologics, Inc. 11621 Research Circle Alachua, FL 32615 According to the package directions, before use, the fascia should be re-hydrated at room temperature in 0.9% saline for up to 30 minutes, and should be used promptly after rehydration. They note that “it is recommended that a suitable antibiotic be included in the soaking solution…” [We have used bacitracin 50,000 units per liter.] They also note that “Either absorbable or non-absorbable suture material may be used with a round atraumatic needle.” SILICONE SLING. Another approach is to use the silicone “Frontalis Suspension Set” by BVI Visitec Intl., Ltd., 0.90 mm x 6.3 cm, ref 685192. The company is at Bidford on Avon, Warwickshire, UK. The antibiotic can be neomycin sulfate 1% in normal saline, soaking the silicone sling for 5 minutes.