title: Subperiosteal midface lift: its role in static lower eyelid reconstruction after chronic facial nerve palsy.
abstract: OBJECTIVE
  To describe the effect of subperiosteal midface lift on lower eyelid position of patients with chronic facial nerve palsy.
  
  
  METHODS
  In an observational prospective study nine patients underwent subperiosteal midface lift. Indications for surgery were lower eyelid paralytic retraction, lagophthalmos, ocular surface disruption, reactive tearing, midface ptosis, and facial asymmetry. Exclusion criteria were previous rehabilitative oculofacial surgery, and facial nerve palsy onset less than a year. Preoperative and postoperative assessment included evaluation of lower eyelid position, lagophthalmos, midfacial ptosis and facial asymmetry. Follow-up was at 1 week, 1 month, 3, and 12 months, postoperatively.
  
  
  RESULTS
  All patients referred improvement in their symptoms at 3 and 12 months, postoperatively: lower eyelid position (P=. 004), lagophthalmos (P=. 004), ocular surface symptoms, reactive tearing, and facial symmetry at rest.
  
  
  CONCLUSIONS
  Subperiosteal midface lift has an effective role in the static lower eyelid malposition correction after chronic facial nerve palsy.
authors.affiliation: Sperino Eye Hospital, Oculoplastic Service, Turin, Italy. cg.ophth@gmail.com
authors.forename: Carlo
authors.initials: C
authors.lastname: Graziani
authors.forename: Claudio
authors.initials: C
authors.lastname: Panico
authors.forename: Giovanni
authors.initials: G
authors.lastname: Botti
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Collin
mesh_terms: D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D002908:Chronic Disease; D004954:Esthetics; D005143:Eyelids / Q000294:innervation*; D005158:Facial Paralysis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods; D015361:Rhytidoplasty / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D016896:Treatment Outcome