Early gold weight lid implant for rehabilitation of faulty eyelid closure with facial paralysis: An alternative to tarsorrhaphy
✍ Scribed by Dr. Steven M. Sobol; Dr. Phillip D. Alward
- Book ID
- 102237486
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 453 KB
- Volume
- 12
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
✦ Synopsis
Although tarsorrhaphy has been the mainstay of treatment for lagophthalmus associated with facial paralysis, it has many drawbacks which make it a less than ideal procedure. Gold weight implantation is a functionally and cosmetically superior alternative in many patients. Eighteen patients with both reversible and irreversible facial (eyelid) paralysis underwent early gold weight implantation for rehabilitation of faulty eyelid closure with satisfactory results. The advantages and disadvantages of this technique, when compared with other methods of correcting paralytic lagophthalmus, are discussed. HEAD &?I NECK 12:149-153,1990
Although tarsorrhaphy has been the most accepted method of providing corneal protection in patients with eyelid paralysis, it has many drawbacks which make it a less than ideal procedure for many patients. It is cosmetically unappealing, may restrict the visual field, and fails to reanimate. In patients with reversible facial paralysis, lysis of the tarsorrhaphy becomes necessary and may result in inclusion cysts along the lid From the Divisions of Otolaryngology (Dr. Sobol) and Ophthalmology (Dr. Alward).