REANIMATION OF THE PARETIC EYELID USING GOLD WEIGHT IMPLANTATION - A NEW APPROACH AND PROSPECTIVE EVALUATION

被引:32
作者
GILBARD, SM [1 ]
DASPIT, CP [1 ]
机构
[1] ST JOSEPHS HOSP,DEPT OPHTHALMOL,PHOENIX,AZ
关键词
GOLD WEIGHT IMPLANTATION; PARALYTIC LAGOPHTHALMOS; REANINATION; LID-LOADING; PARALYTIC ECTROPION;
D O I
10.1097/00002341-199106000-00003
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Sixty-one lid-loading procedures, performed by the author, were evaluated prospectively, Simple, gold weight implantation, combined with lower lid retracer recession, placement of fascia lata, and lateral tarsal strip tightening is effective for promoting voluntary closure and correction of lower lid paralytic ectropion. Placement of a heavier gold weight, in combination with mullerectomy, is a reliable new approach for mimicking involuntary blink without ptosis.
引用
收藏
页码:93 / 103
页数:11
相关论文
共 17 条
[1]  
Arion H.G., Dynamic closure of the lids in paralysis of the orbicularis muscle, Int Surg, 57, pp. 48-50, (1972)
[2]  
Morel-Fatio D., Lalardrie JP. Palliative surgical treatment of facial paralysis: The palpebral spring, Proceedings of the First International Symposium of Plastic and Reconstructive Surgery of the Eye and Adnexa, (1962)
[3]  
May M., Gold weight and wire spring implants as alternatives to tarsorrhaphy, Arch Otolaryngol Head Neck Surg, 113, pp. 656-660, (1987)
[4]  
Jelks G.W., Smith B., Bosniak S., The evaluation and management of the eye in facial palsy, Clin Plast Surg, 6, pp. 397-419, (1979)
[5]  
Sheehan J.E., Progress in correction of facial palsy with tantalum wire and mesh, Surgery, 27, pp. 122-125, (1950)
[6]  
Illig K.M., Eine neue Operationsmethode gegen Lagophthal-mus, Klin Monatsbl Augenheilkd, 132, pp. 410-411, (1958)
[7]  
Smellie G.D., Restoration of the blinking reflex in facial palsy by a simple lid-loading operation (Abstract), Br J Plas Surg, 19, (1966)
[8]  
Jobe R., A technique for lid loading in the management of the lagophthalmos of facial palsy, Plast Reconstr Surg, 53, pp. 29-32, (1977)
[9]  
Lisman R.D., Smith B., Baker D., Arthurs B., Efficacy of surgical treatment for paralytic ectropion, Ophthalmology, 94, pp. 671-681, (1987)
[10]  
Mausolf F.A., Techniques for the repair of orbicularis oculi palsy, Ophthalmic Surg, 9, pp. 67-70, (1978)