Keen M S, Burgoyne J D, Kay S L
Columbia Presbyterian Medical Center, Department of Otolaryngology, New York, New York 10032.
Ear Nose Throat J. 1993 Oct;72(10):692, 659-701.
The most devastating sequelae of the facial nerve paralysis is the loss of eyelid function. The inability to blink, lubricate and protect the globe can lead to exposure keratitis, corneal abrasion and even the loss of vision. Eyelid closure is approximately 85% upper eyelid and 15% lower eyelid. In order to ensure adequate protection of the globe, deficiencies of both eyelids must be addressed. We report our experience with 20 patients with eyelid paralysis. Upper lid reanimation was performed by the placement of gold lid weights on the tarsal plate. Lower lid reanimation procedures included lateral canthopexy and horizontal lid shortening. A discussion of the above-mentioned procedures, the timing of the procedures and a critical analysis of results will be included. A comprehensive approach to the management of the paralyzed eye will be presented.
面神经麻痹最具破坏性的后遗症是眼睑功能丧失。无法眨眼、润滑和保护眼球会导致暴露性角膜炎、角膜擦伤甚至视力丧失。眼睑闭合约85%由上眼睑完成，15%由下眼睑完成。为确保对眼球的充分保护，上下眼睑的缺陷都必须加以解决。我们报告了20例眼睑麻痹患者的治疗经验。通过在睑板上放置金质眼睑配重进行上睑重建。下睑重建手术包括外眦固定术和水平睑缩短术。将对上述手术、手术时机以及结果进行批判性分析展开讨论。还将介绍针对麻痹性眼睛的综合治疗方法。
