title: [Results after lidloading with rigid gold weights--a meta-analysis].
abstract: 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.
authors.affiliation: Klinik für Hals-, Nasen-, Ohrenkrankheiten, Universitätsmedizin Berlin, Charité Campus Mitte, Schumannstrasse 20/21, 10117 Berlin. thomas.schrom@gmx.de
authors.forename: T
authors.initials: T
authors.lastname: Schrom
authors.forename: K
authors.initials: K
authors.lastname: Wernecke
authors.forename: A
authors.initials: A
authors.lastname: Thelen
authors.forename: S
authors.initials: S
authors.lastname: Knipping
mesh_terms: 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
chemical_list: D006046:Gold