title: Surgical rehabilitation of paralytic lagophthalmus by platinum chain lid loading:  focusing on patient benefit and health-related quality of life.
abstract: OBJECTIVE
  To evaluate patient benefit and health-related quality of life after lid loading with platinum chains in adult patients with facial palsy.
  
  
  METHODS
  Retrospective data collection.
  
  
  METHODS
  Germany's largest university clinic for otorhinolaryngology, head and neck surgery.
  
  
  METHODS
  Thirty-five patients received validated questionnaires determining the effects of the operation on the patients' health-related quality of life (Glasgow Benefit Inventory). Scores can range from -100 (maximal adverse effect), through 0 (no effect), to 100 (maximal positive effect). Furthermore, satisfaction, complaints, and complications regarding the platinum chain implant were inquired.
  
  
  RESULTS
  Twenty-two patients (63 %) returned a valid questionnaire. The mean follow-up time was 31.5 months. A complete coverage of the cornea was achieved in 95% of the patients after the first operation and in the remaining patients after a revision with implantation of a heavier weight. Complete symmetry to the nonaffected eye was perceived by 64%. Recurrent conjunctivitis was complained preoperatively by 18% and postoperatively only by a single patient. In 2 patients, a mild pseudoptosis was found postoperatively, and a single patient complained about blurred vision. The median total Glasgow Benefit Inventory score was 27.8 (p < 0.001). The health-related quality of life was raised in 91% of the patients; 87% were fully satisfied with the functional result, and 91% with the aesthetical result. 100% would again decide in favor of platinum chain lid loading.
  
  
  CONCLUSIONS
  Platinum chain lid loading in facial palsy patients can significantly increase patients' health-related quality of life and leads to a high rate of patient satisfaction.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University, Munich, Germany. thomas.braun@med.uni-muenchen.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Braun
authors.forename: Heike
authors.initials: H
authors.lastname: Batran
authors.forename: Pamela
authors.initials: P
authors.lastname: Zengel
authors.forename: Alexander
authors.initials: A
authors.lastname: Berghaus
authors.forename: John Martin
authors.initials: JM
authors.lastname: Hempel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003627:Data Interpretation, Statistical; D005141:Eyelid Diseases / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery*; D005143:Eyelids / Q000502:physiology*; D005158:Facial Paralysis / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery*; D005260:Female; D023261:Glasgow Outcome Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D010984:Platinum / Q000009:adverse effects; D019736:Prostheses and Implants / Q000009:adverse effects; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D011788:Quality of Life; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires
chemical_list: D010984:Platinum