Abstract
Facial nerve palsy results in paralysis of orbicularis oculi muscle. This results in symptoms of ocular irritation due to inadequate eyelid closure. The primary objective of the surgeon is to protect the eye, via surgical or non-surgical methods. Surgical methods involve tarsrrhaphy, gold weights or springs as well as lower lid procedures. Nine such cases where Gold Weights were implanted in the upper eyelid with good results, are presented.
Keywords: Facial palsy, Gold weights as upper eye lid implants
Full Text
The Full Text of this article is available as a PDF (256.4 KB).
References
- 1.Levine R.E. Reanimation of paralyzed eyelids. Facial Plast Surg. 1992;8:121–126. doi: 10.1055/s-2008-1064640. [DOI] [PubMed] [Google Scholar]
- 2.May M. Gold weight and wire spring implants as alternatives to tarsorraphy. Archotolarygol Head Neck Surg. 1987;113:656–660. doi: 10.1001/archotol.1987.01860060082020. [DOI] [PubMed] [Google Scholar]
- 3.May M. Paralyzed eyelids reanimated with a closed-eyelid spring. Laryngoscope. 1988;98:382–385. doi: 10.1288/00005537-198804000-00004. [DOI] [PubMed] [Google Scholar]
- 4.May M., Hoffmann D.F., Buerger G.F., Soll D.B. Managememt of the paralyzed lower eyelid by implanting auricular cartilage. Arch Otolaryngol Head Neck Surg. 1990;116:786–788. doi: 10.1001/archotol.1990.01870070034005. [DOI] [PubMed] [Google Scholar]
- 5.Neuman A.R., Weinberg A., Sela M., Peled I.J., Wexler M.R. The correction of seventh nerve palsy lagophthalmos with gold lid load (16 years experience) Ann Plast Surg. 1989;22:142–145. doi: 10.1097/00000637-198902000-00009. [DOI] [PubMed] [Google Scholar]
- 6.O’Connell J.E., Robin P.E. Eyelid gold weights in the management of facial palsy. J Laryngol Otol. 1991;105:471–474. doi: 10.1017/s0022215100116330. [DOI] [PubMed] [Google Scholar]
- 7.Selff S.R., Chang J. Management of ophthalmic complications of facial nerve palsy. Otolaryngol Clin North Am. 1992;25:669–690. [PubMed] [Google Scholar]
- 8.Abella K. M., Bakera R. S., Cowena David., Porter J. D. Efficacy of gold weight implants in facial nerve palsy: quantitative alterations in blinking. Vision Research. 1998;3(19):3019–3023. doi: 10.1016/S0042-6989(98)00108-4. [DOI] [PubMed] [Google Scholar]
- 9.Hontanilla B. Weight measurement of upper eyelid gold implants for lagophthalmos in facial paralysis. Plast Reconstr Surg. 2001;108(6):1539–1543. doi: 10.1097/00006534-200111000-00016. [DOI] [PubMed] [Google Scholar]
- 10.Aggarwal E., Naik M., Honavar S. Effectiveness of the gold weight trial procedure in predicting the ideal weight for lid loading in facial palsy: A prospective study. Amn J Ophthalmology. 2004;143(6):1009–1012. doi: 10.1016/j.ajo.2007.03.026. [DOI] [PubMed] [Google Scholar]
- 11.Tate, James R, Kriet, David J, Tollefson, Travis T (2006) Paralytic lagophthalmos: gold-weight implantation. J ENT [PubMed]
- 12.Jayashankar N., Morwani K.P., Shaan M.J., Bhatia S.R., Patil K.T. Customised gold weight eyelid implantation in paralytic lagophthalmos. The Journal of Laryngology & Otology. 2008;122:1088–1091. doi: 10.1017/S0022215108001886. [DOI] [PubMed] [Google Scholar]