title: Upper eyelid platinum chain placement for treating paralytic lagophthalmos.
abstract: For the definitive treatment of lagophthalmos and satisfactory rehabilitation of the affected eye, different surgical strategies have been proposed, including static or dynamic procedures. Although some of these can have good results, lid loading is now the most common technique for treating paralytic long-term lagophthalmos. Among the different types of loading, the use of a platinum chain is preferred to the use of a standard gold weight because platinum has a higher density than gold and is also more biocompatible. In this paper authors retrospectively analyzed 43 patients with regards to functional and cosmetic results. Questionnaires were also employed to assess changes and improvements in the patients' quality of life. Analysis of the excellent results achieved confirmed that platinum chain lid loading should be considered as a first-line treatment for paralytic lagophthalmos rehabilitation. It is a simple, reliable, and effective technique that significantly improves the health-related quality of life of patients.
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: B
authors.initials: B
authors.lastname: Bianchi
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy. Electronic address: a.ferri@libero.it.
authors.forename: A
authors.initials: A
authors.lastname: Ferri
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Leporati
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Ferrari
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Lanfranco
authors.affiliation: Otolaryngology Head Neck Surgery Division, Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: T
authors.initials: T
authors.lastname: Ferri
authors.affiliation: Maxillo-Facial Surgery Division (Head: Professor E. Sesenna, MD, Full Professor, Chief), Head and Neck Department, University Hospital of Parma, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Sesenna
mesh_terms: D000328:Adult; D000368:Aged; D001672:Biocompatible Materials / Q000737:chemistry*; D001767:Blinking / Q000502:physiology; D002921:Cicatrix / Q000473:pathology; D004210:Dissection / Q000379:methods; D004954:Esthetics; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005158:Facial Paralysis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007634:Keratitis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010984:Platinum / Q000737:chemistry*; D019736:Prostheses and Implants; D019919:Prosthesis Implantation; D011788:Quality of Life; D012189:Retrospective Studies; D013536:Suture Techniques; D013666:Tears / Q000378:metabolism; D014785:Vision, Ocular / Q000502:physiology; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; D010984:Platinum
keywords: Eyelid loading; Facial palsy; Lagophthalmos; Platinum chain