Head & Neck and Skull Base Surgery/Oncology Programme, Wellington Regional Plastic, Maxillofacial & Burns Unit, Hutt Hospital, Wellington, New Zealand.
J Craniomaxillofac Surg. 2013 Apr;41(3):e49-53. doi: 10.1016/j.jcms.2012.07.015. Epub 2012 Aug 14.
Upper eyelid paralysis leads to lagophthalmos with the risk of exposure keratitis, corneal ulceration and blindness.
Consecutive patients undergoing gold weight implantation and/or lateral tarsorrhaphy were identified from our prospective database and reviewed.
Sixty-three patients were identified, 36 of whom underwent immediate reanimation procedure either during cancer excision (n = 35) or repair of facial laceration (n = 1). Twenty-seven patients had a delayed procedure either following tumour excision (n = 21) or unresolved Bell's palsy (n = 3), or facial palsy due to complex craniofacial fracture (n = 3). Nine patients required revision to achieve optimal weight. Fifty-two patients had full eye closure. The remaining 11 patients had almost complete eye closure.
Facial paralysis is devastating for the patient and immediate facial reanimation should be performed. We have demonstrated that gold weight implantation and lateral tarsorrhaphy are simple and effective in achieving eye closure.
上眼睑瘫痪可导致睑裂闭合不全，从而有暴露性角膜炎、角膜溃疡和失明的风险。
从我们的前瞻性数据库中确定了连续接受金重量植入术和/或外侧睑缘缝合术的患者，并对其进行了回顾性分析。
共确定了 63 名患者，其中 36 名患者在癌症切除（n = 35）或面部裂伤修复（n = 1）期间立即进行了再神经支配手术。27 名患者因肿瘤切除（n = 21）或未解决的贝尔氏面瘫（n = 3）或复杂颅面骨折所致面瘫（n = 3）而延迟进行手术。9 名患者需要进行修改以达到最佳效果。52 名患者完全闭眼。其余 11 名患者几乎完全闭眼。
面神经瘫痪对患者来说是毁灭性的，应立即进行面部再神经支配。我们已经证明，金重量植入术和外侧睑缘缝合术是实现眼睛闭合的简单有效方法。
