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Background.Mersilene mesh(polyester fibre)is commonly used in ptosis surgery for frontalis suspension as it is readily available and cheap.Management of extrusion can be challenging.We report three case s of extrusion where extremely thick mesh or extremely th in tissue may have contributed to the extrusion.Methods.Retrospective case note study of three adult patients who developed chronic mesh extrusion.Results.Extrusion and chronic infection occured 5-12months after surgery.Despite systemic an-tibiotics,all three patients requi red surgical excision of mesh from the eyelid up to the brow,which was curative.Conclusion.These cases illustrate the need for a systematic approach and the need in some cases to excise the mesh to prevent recurrent infection.
Background. Mileilene mesh (polyester fiber) is commonly used in ptosis surgery for frontalis suspension as it is readily available and cheap. Management of extrusion can be challenging. We report three case s of extrusion where extremely thick mesh or extremely th in tissue may have contributed to the extrusion. Methods retrospective case note study of three adult patients who developed chronic mesh extrusion. Results. Extrusion and chronic infection occured 5-12 months after surgery. Desirable systemic an-tibiotics, all three patients requi red surgical excision of mesh from the eyelid up to the brow, which was curative.Conclusion.These cases illustrate the need for a systematic approach and the need in some cases to excise the mesh to prevent recurrent infection.