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ISSN 1561-3070 (Electronic)

2018, Number 2

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Rev Cub Oftal 2018; 31 (2)

Palpebral gold weight implantation in the paralytic lagophthalmos treatment

Negrin CY, Mieres M, Cabrera RAC, Cárdenas ML

Language: Spanish
References: 18
Page: 1-7
PDF size: 213.78 Kb.


ABSTRACT

Lagophthalmos secondary to facial nerve damage brings about functional and esthetic alterations which may result in serious corneal complications and eventual blindness. Appropriate management depends on severity and recovery time. Gold weight implantation in the upper eyelid plays an important role in the medium- and longterm treatment of this condition. A male 74-year-old patient presents with signs and symptoms of right-side peripheral facial paralysis, including ipsilateral lagophthalmos with great corneal deterioration. A pretarsal gold weight was implanted in the upper eyelid to correct the paralytic lagophthalmos, and excellent functional and esthetic results were obtained. While novel treatment modes lie in the horizon with great potential to alter the algorithm of current treatment, this procedure continues to be a reliable, safe and effective technique for the permanent rehabilitation of the upper eyelid.


REFERENCES

  1. Gordin E, Lee TS, Yadranko Ducic, Demetri Arnaoutakis. Facial nerve trauma: evaluation and considerations in management. Craniomaxillofac Trauma Reconstr. 2015;8(1):1-13.

  2. Rozen S, Lehrman C. Upper eyelid postseptal weight placement for treatment of paralytic lagophthalmos. Plast Reconstr Surg. 2013;131:1253-65.

  3. Manodh P, Devadoss P, Kumar N. Gold weight implantation as a treatment measure for correction of paralytic lagophthalmos. Indian J Dent Res. 2011;22(1):181.

  4. Yu Y, Sun J, Chen L, Liu L. Lid loading for treatment of paralytic lagophthalmos. Aesthetic Plast Surg. 2011 [citado 15 de enero de 2017];35(6):1165-71. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21556983

  5. Smellie G. Restoration of the blinking reflex in facial palsy by a simple lid-load operation. Br J Plast Surg. 1966 [citado 15 de enero de 2017];19:279-83. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4952288

  6. Tan ST, Staiano JJ, Itinteang T, McIntyre BC, MacKinnon CA, Glasson DW. Gold weight implantation and lateral tarsorrhaphy for upper eyelid paralysis. J Craniomaxillofac Surg. 2013 [citado 15 de enero de 2017];41(3):49-53. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/22901733

  7. Bulam H, Öztürk O, Ünlü E, Uslu A, Yilanci S, Bali Y, I?de M. Treatment of migration and extrusion of the gold weight eyelid implant with fascia lata sandwich graft technique. J Craniofac Surg. 2015;26(1). Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25565227

  8. Iskusnykh NS, Grusha YO. Correction of paralytic lagophthalmos. Vest Oftalmol. 2015;131(2):105-9.

  9. Terzis JK, Karypidis D. Blink restoration in adult facial paralysis. Plast Reconstr Surg. 2010 [citado 15 de enero de 2017];126(1):126-39. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20595863

  10. Sohrab M, Abugo U, Grant M, Merbs S. Management of the eye in facial paralysis. Facial Plast Surg. 2015;31:140-4.

  11. Schwartz R, Cnaan RB, Schein O, Giladi M, Raz M, Leibovitch I. Periocular and anterior orbital necrosis after upper eyelid gold weight loading: operation-related or self-inflicted? Clin Ophthalmol. 2014;8:843-6.

  12. Kilduff CLS, Casswell EJ, Imonikhe R, Marjanovic B. Type IV hypersensitivity to gold weight upper-eyelid implant: case report and review of the literature. Ocul Immunol Inflamm. 2017;4:1-5.

  13. Akcal A, Savas SA, Ozkan O, Ogan O. Treating the golden implant visibility on a paralytic eye by using the capsule shield technique. J Craniofac Surg. 2016;27(1):191-3.

  14. Bulam H, Öztürk O, Ünlü E, Uslu A, Yilanci S, Bali Y, I?de M. Treatment of migration and extrusion of the gold weight eyelid implant with fascia lata sandwich graft technique. J Craniofac Surg. 2015 [citado 18 de mayo de 2018];26(1). Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25565227

  15. Gendy A, Therattil PJ, Feintisch AM, Lee ES. Postseptal weight placement for paralytic lagophthalmos. Eplasty. 2016 [citado 15 de enero de 2015];16. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/4922372

  16. Chiono V, Tonda Turo C, Ciardelli G. Artificial scaffolds for peripheral nerve reconstruction. Int Rev Neurobiol. 2009 [citado 20 de febrero de 2017];87:173-98. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19682638

  17. Cunha C, Panseri S, Antonini S. Emerging nanotechnology approaches in tissue engineering for peripheral nerve regeneration. Nanomedicine. 2011 [citado 15 de enero de 2017];7:50-9. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20692373

  18. Ledgerwood LG, Tinling S, Senders C, Wong-Foy A, Prahlad H, Tollefson TT. Artificial muscle for reanimation of the paralyzed face: durability and biocompatibility in a gerbil model. Arch Facial Plast Surg. 2012 [citado 20 de febrero de 2017];14(6):413-8. Disponible en: http://jamanetwork.com/journals/jamafacialplasticsurgery/fullarticle/1357848




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