PMID: 8949714Aug 1, 1996Paper

Surgical repair of paralytic lagophthalmos by medial tarsal suspension of the lower lid

The British Journal of Ophthalmology
M Castroviejo-BolibarA Fernández-Vega

Abstract

The seventh nerve palsy causes loss of function in the affected orbicularis oculi muscle. There is exposure and dessication of the corneal surface and obvious aesthetic changes in facial symmetry. A surgical procedure has been used in 11 patients to substantially improve palpebral closure. The technique consists of a small upper lid tarsoconjunctival flap sutured into a nasal pretarsal pocket of the lower lid, achieving a medial tarsal suspension of the lower lid. This technique improves cosmesis, is reversible, and combinable with other procedures. The signs and symptoms of exposure keratitis are satisfactorily resolved. There have been no complications in an average follow up of 5 1/2 years after this surgical procedure. This technique could be considered an appropriate treatment for patients suffering temporary or permanent facial palsy.

References

Jan 1, 1991·Eye·B Leatherbarrow, J R Collin
Jan 1, 1991·Ophthalmic Plastic and Reconstructive Surgery·S M Gilbard, C P Daspit
May 1, 1991·The British Journal of Ophthalmology·T J Sullivan, J R Collin
Jun 1, 1987·Ophthalmology·R D LismanB Arthurs

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Citations

Feb 24, 2001·Ophthalmic Plastic and Reconstructive Surgery·R G Fante, V M Elner
May 28, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·John Yoo, Damir Matic
Mar 16, 2007·Survey of Ophthalmology·Imran Rahman, S Ahmed Sadiq
Apr 20, 2004·Eye·V LeeJ R O Collin
Jun 14, 2014·Ophthalmic Plastic and Reconstructive Surgery·Jeremiah P TaoWilliam R Nunery
Feb 3, 2019·Eye·Robi N MaamariSteven M Couch
May 20, 2020·Ophthalmic Plastic and Reconstructive Surgery·Jordan R CongerJeremiah P Tao
Feb 21, 2021·European Journal of Ophthalmology·Abbas BagheriMehdi Tavakoli

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