Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2000-12-20
pubmed:abstractText
Paralysis of the orbicularis oculi muscle leads to an unopposed action of the levator of the upper eyelid (lagophthalmos) in facial nerve palsy. The resultant exposure of the cornea may lead to keratitis, corneal ulceration, and eventual blindness. Although many surgical options exist in the treatment of lagophthalmos, upper lid loading with a gold weight implant has become one of the preferred methods to reduce the complications that may follow. The problems encountered after gold lid loading and methods to reduce postoperative morbidity are not well documented. The objective of this study was to determine the range of morbidity seen after gold weight insertion and to evaluate the effect of supratarsal fixation on subsequent morbidity. After retrospective reviews by questionnaire and case note analysis, supratarsal fixation was found to noticeably reduce the rate of implant ulceration and extrusion. This study demonstrates upper lid loading to be an effective method for the treatment of lagophthalmos, and it supports fixation of gold weights in reducing surgical morbidity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0148-7043
pubmed:author
pubmed:issnType
Print
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
623-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11128761-Adolescent, pubmed-meshheading:11128761-Adult, pubmed-meshheading:11128761-Aged, pubmed-meshheading:11128761-Biocompatible Materials, pubmed-meshheading:11128761-Child, pubmed-meshheading:11128761-Child, Preschool, pubmed-meshheading:11128761-Disease Models, Animal, pubmed-meshheading:11128761-Eyelid Diseases, pubmed-meshheading:11128761-Eyelids, pubmed-meshheading:11128761-Facial Paralysis, pubmed-meshheading:11128761-Female, pubmed-meshheading:11128761-Gold, pubmed-meshheading:11128761-Humans, pubmed-meshheading:11128761-Male, pubmed-meshheading:11128761-Middle Aged, pubmed-meshheading:11128761-Prostheses and Implants, pubmed-meshheading:11128761-Prosthesis Implantation, pubmed-meshheading:11128761-Retrospective Studies, pubmed-meshheading:11128761-Treatment Outcome
pubmed:year
2000
pubmed:articleTitle
Reducing postoperative morbidity after the insertion of gold weights to treat lagophthalmos.
pubmed:affiliation
Department of Plastic and Reconstructive Surgery, Mount Vernon Hospital, Northwood, Middlesex, UK.
pubmed:publicationType
Journal Article, Evaluation Studies