ISSN: 1300-0365
Dil: Türkçe
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ORIGINAL RESEARCH ARTICLES |
Gold Weight Implantatıon As An Upper Lid Procedure In Facial Palsy
Dr. Ahmet SÖNMEZ, a Dr. Nurdan ÖZTÜRK, a Dr. Nihal DURMUŞ, a Dr. Mehmet BAYRAMİÇLİ, aDr. Ayhan NUMANOĞLUa
aPlastik ve Rekonstrüktif Cerrahi ABD, Marmara Üniversitesi Tıp Fakültesi, İSTANBUL
Objective: Upper lid loading with gold weights provide good functional and aesthetic results in facial paralysis. In this study, surgical technique utilized for upper lid loading was described and results were evaluated. Material and Methods: Forty-four patients, operated between January 2002 and July 2006 with the described technique were included in the study. Mean age of the patients was 54 years and mean follow up was 16 months. Results and Conclusion: Most frequent cause of facial paralysis was cerebello-pontine angle tumors (64%). Two implants were changed due to exposition; one was changed due to infection. Migration was observed in two implants, but did not necessitate re-operation. Ptozis was observed in two patients in late follow ups. Redness and soreness of the eyes were the most frequent patient complaints. Most frequent surgeon complaint was the noticeable borders of the implant under the lid skin. Conclusion: In conclusion, both functional and symptomatic amelioration was achieved with the described technique. Complications were few and could be resolved easily when compared to the other techniques.Keywords: Facial paralysis, eyelidsTurkiye Klinikleri J Ophthalmol 2008, 17:27-33
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