[Results after lidloading with rigid gold weights--a meta-analysis].
BACKGROUND
For the surgical therapy of lagophthalmos rigid gold implants were used. There are a lot of studies using rigid gold implants with widely different complications. In the primary study the small amount of patients is often a problem. The aim of our study was to survey the postoperative results and complications after insertion of rigid gold implants and to statistically compare the results with a meta-analysis.


METHODS
38 publications on 1000 rigid gold implants were analyzed in the context of a meta-analysis of the postoperative results.


RESULTS
Complete lid closure can be obtained in 84.5 % with the rigid gold implants. The postoperative complication rates were 13.4 % for bulging, 6.4 % for migration, 6.8 % for extrusion, 11.5 % for corneal astigmatism and 7.0 % postoperative infections.


CONCLUSIONS
Lidloading is a very simple and reversible procedure for the surgical treatment of lagophthalmos. The statistical analysis in using rigid gold implants showed a significant rate of postoperative complications. To increase the effectivity of the treatment method these results should be taken into account for alternative implants.
Schrom
T
T
Klinik für Hals-, Nasen-, Ohrenkrankheiten, Universitätsmedizin Berlin, Charité Campus Mitte, Schumannstrasse 20/21, 10117 Berlin. thomas.schrom@gmx.de
Wernecke
K
K
Thelen
A
A
Knipping
S
S
D005141:Eyelid Diseases / Q000628:therapy*; D005158:Facial Paralysis / Q000628:therapy*; D006046:Gold; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D016474:Weight-Bearing
D006046:Gold