Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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A CASE REPORT OF LAGOPTHALMOS RELATED WITH FACIAL NERVE PARALYSIS

안면신경마비로 인한 토안의 치험례

  • Choi, Moon-Gi (Dept. of Oral & Maxillofacial Surgery, Dentistry, Muju Health Hospital)
  • 최문기 (전북 무주보건의료원 치과 구강악안면외과)
  • Published : 2003.12.31
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Abstract

Patient with facial paralysis may develop opthalmic complications. Poor eyelid closure, ectopion and lagophthalmos place the patinet at increased risk for development of corneal problems such as epitheilail defects, stromal thinning, bacterial infection, and even perforation. Inilital treatment should be conservative and include the use of ocular lubricants and taping of the lower eyelid into the proper position. Surgical intervention may be required in patients who have failed medical therapy or in whom the facial paralysis is not expected to improve. Gold weight implantation in upper eyelid and lower lid tightening in lower eyelid has become a popular procedure to correct upper eyelid retraction and lower eyelid laxity and to improve corneal coverage. We describe technique for placement of a gold weight in the upper lid, with attention of the maintenance of symmetric eyelid crease and susture canthopexy to correct malpositioned lower eyelid.

Keywords

References

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