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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2003, Number 6

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Rev Mex Oftalmol 2003; 77 (6)

Rehabilitación quirúrgica de la parálisis facial cuando el tratamiento médico falla

Mena-González H, Castro-Camacho E
Full text How to cite this article

Language: Spanish
References: 10
Page: 223-227
PDF size: 293.00 Kb.


Key words:

Facial palsy, lagophthalmos, paralytic ectropion, gold weight implant, lateral cantoplasty.

ABSTRACT

Purpose: To establish an algorithm for medical and surgical rehabilitation in facial palsy.
Methods: A prospective, longitudinal, descriptive, non-comparative study of 21 patients with facial palsy was realized. Demographic data was documented (sex and age). Complete ophthalmologic examination and facial muscle function was evaluated. Statistical data analysis was applied to each variable.
Results: Twenty-one patients of 35 were females (60%, ratio 2:1). Average age was 50.48 years. The two mains complain were lagophthalmos (37.1%) and epiphora (25.71%). Most frequent causes were Bell palsy (34.8%) and trauma (20%). Sixty-seven surgical procedures were done, 1.7 averages per patient. The reported procedures were: gold weight implant (33.3%), ectropion correction (38.3%), soof lift and midface lift (10%), eyebrow and lip ptosis 10 (16.5%). The only two complications were gold weight migration and recidivate ectropion.
Conclusion: The most frequent surgical procedure was gold weight implant and ectropion correction. Only 5 midface – soof lift were done in six patients (10%).


REFERENCES

  1. Cohn J, Sweeney K. Facial nerve paralysis, University of Pittsburg. Pub Med, UPMC Health System Facial Nerve Center, Homepage,1996.

  2. Hoffman Y W. Reanimation of the paralized face. Oto Clin North Am, 1992; 25(3):649- 667.

  3. Catalano PJ, Bergstein MJ, Biller HF. Comprehensive management of the eye in facial paralysis. Arch Oto Head Neck Surg, 1995;121(1):81-86.

  4. Nicolai JPA, Cruysberg JRM. Free muscle grafting and other treatments for paralytic lagoftalmos. Orbit, 1987; 6(2):105-114.

  5. Hart MWJr. Adler Fisiología del Ojo. 9a ed. Editorial Diorki, España, 1994:1-11, 18-27.

  6. Smellie DG. Restoration of the blinking reflex in facial palsy by a simple lid load operation. Brit J Plas Surg, 1966;19:279-283.

  7. Jackson TI, Bruce D, Harris J. Use of contoured and stabilized conchal cartilage grafts for lower eyelid support: A preliminary report. Plas Recons Surg, 1989; 83(4):636-640.

  8. May M. Paralyzed eyelids reanimated with a closed-eyelid spring. Laringoscope, 1988; 98:382-385.

  9. May M. Gold Weight and wire spring implants as alternative to tarsorraphy. Arch Oto Head Neck Surg, 1987; 113:656-660.

  10. Putterman AM. Cosmetic Oculoplastic Surgery Eyelids, Forehead and Facial techniques. 3ª ed, W.B Saunders Co, Pennsylvania, 1998:235-244, 300-307, 442-452,481-485.




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Rev Mex Oftalmol. 2003;77