Static management of lagophthalmos following facial nerve paralysis using standardized weights
El Shazly, M.; Guindi, S.
Revue de Laryngologie - Otologie - Rhinologie 129(4-5): 263-266
2008
ISSN/ISBN: 0035-1334 PMID: 19408507 Document Number: 628161
Peripheral facial nerve paralysis is accompanied by inability to properly close the eye and protect the cornea. The implantation of a standardized upper eyelid gold weight implant allows gravitational pull on the relaxed eye. Custom-made gold implants were surgically implanted pre-tarsally in the upper eyelids of 37 patients with facial nerve paralysis. Excellent results were achieved in 36 patients. Repeated extrusion occurred in one case. This is a simple, reliable and especially reversible surgical procedure for the rehabilitation of the paralyzed eye.