Management of the eye after iatrogenic facial paralysis.
The aesthetic and functional morbidity associated with facial palsy is significant. Fortunately, corneal exposure and ulceration with the potential for the loss of visual acuity can be minimized by eyelid procedures such as gold weight implantation and horizontal eyelid shortening. Although primarily designed for restoration of eyelid function, these procedures also improve ocular cosmesis. However, uncertainty remains regarding the indications for eyelid surgery: When should surgery be performed, in whom, and which procedure(s)? On the basis of our series of 60 patients evaluated for facial paralysis, guidelines for the management of the paralyzed eyelids after iatrogenic injury to the facial nerve are proposed.
Department of Otolaryngology, Mount Sinai School of Medicine, New York, New York.
P J
PJ
Catalano
M J
MJ
Bergstein
C
C
Sen
K
K
Post
D003320:Corneal Ulcer / Q000209:etiology / Q000517:prevention & control; D004483:Ectropion / Q000601:surgery*; D005143:Eyelids / Q000294:innervation / Q000601:surgery*; D005154:Facial Nerve / Q000601:surgery; D020220:Facial Nerve Injuries; D005158:Facial Paralysis / Q000601:surgery*; D006046:Gold; D006801:Humans; D007049:Iatrogenic Disease; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D012086:Reoperation
D006046:Gold