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SURGICAL TREATMENT OF PARALYTIC LAGOPHTHALMOS AFTER PAROTIDECTOMY

By C. C. Ciocan – Pendefunda, Carmen Vicol, Eugenia Popescu and V. V. Costan

Abstract

Introduction: Long – term facial palsy appears in patients who undergone surgical procedures with the interrupting the continuity of the facial nerve. The resulting lagophthalmos must be treated in order to prevent visual problems. The treatment is complex, consisting in conservative and surgical methods. This study describes the experience of our unit with the use of gold weight implant in the upper eyelid for lagophthalmos. Material and method. We present 5 cases operated in the Oral and Maxillofacial Surgery Department Iasi treated using the same technic. In all patients the gold plate was shaped prior to surgical procedures. The implant was inserted between the tarsus and orbicularis muscle. Results. The postparotidectomylagophthalmos was successfully treated in all situations. The scar from upper eyelid was camouflaged. The ocular symptoms disappeared in every case. Discussions. The treatment of lagophthalmos must solve the functional problems of the eye and also the esthetic issue. Nowadays, the most common technic used for the correction of lagophthalmos is the insertion of a gold weight in the upper eyelid. In some cases there are necessary surgical procedures for the ectropion consecutive to facial palsy. Conclusions. This technic with gold implant is safe, cheap and repeatable for the correction of paralytic lagophthalmos. Sometimes we have to perform interventions in the lower eyelid also. The postoperative complications are rare

Topics: PARALYTIC LAGOPHTHALMOS, GOLD WEIGHT IMPLANT, PAROTIDECTOMY, LCC:Surgery, LCC:RD1-811, LCC:Medicine, LCC:R, DOAJ:Surgery, DOAJ:Medicine (General), DOAJ:Health Sciences
Publisher: University of Medicine and Pharmacy, Iasi
Year: 2011
OAI identifier: oai:doaj.org/article:539b060ea2be4b19b5f3e6a5f53847e0
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