Catalano P J, Bergstein M J, Sen C, Post K
Department of Otolaryngology, Mount Sinai School of Medicine, New York, New York.
Neurosurgery. 1994 Aug;35(2):259-62; discussion 262-3. doi: 10.1227/00006123-199408000-00011.
The aesthetic and functional morbidity associated with facial palsy is significant. Fortunately, corneal exposure and ulceration with the potential for the loss of visual acuity can be minimized by eyelid procedures such as gold weight implantation and horizontal eyelid shortening. Although primarily designed for restoration of eyelid function, these procedures also improve ocular cosmesis. However, uncertainty remains regarding the indications for eyelid surgery: When should surgery be performed, in whom, and which procedure(s)? On the basis of our series of 60 patients evaluated for facial paralysis, guidelines for the management of the paralyzed eyelids after iatrogenic injury to the facial nerve are proposed.
与面神经麻痹相关的美学和功能损害较为严重。幸运的是，通过诸如植入金片和水平睑缩短等眼睑手术，可以将角膜暴露和溃疡以及视力丧失的可能性降至最低。尽管这些手术主要是为了恢复眼睑功能而设计，但它们也改善了眼部美观。然而，关于眼睑手术的适应症仍存在不确定性：手术应在何时进行、针对何人以及采用何种手术方式？基于我们对60例面神经麻痹患者的评估系列，提出了医源性面神经损伤后瘫痪眼睑管理的指南。
