Moser G, Oberascher G
Department of Otolaryngology, Head and Neck Surgery, General Hospital, Salzburg, Austria.
Eur Arch Otorhinolaryngol. 1997;254 Suppl 1:S76-8. doi: 10.1007/BF02439729.
Although dynamic reconstruction procedures are preferred for treating patients with complete facial paralyses, static procedures are useful for various conditions. One such technique involves the implantation of gold weights into the upper eyelid. We have reported our experiences with 58 patients who underwent gold weight implantation for rehabilitation of eyelid closure with satisfactory results. To obtain better cosmetic results we developed newly shaped thinner weights. Four instead of three perforations in each weight enable better fixation to soft tissue. Since 40% of all cases also required additional surgery to rehabilitate other portion of the face, polytetrafluoroethylene (Goretex) soft-tissue patches were used for suspension to help correct midfacial and perioral asymmetry. From 1990 to 1996, 22 patients underwent this technique under local or general anesthesia. Except for 2 patients, no complications were observed. Overall, both gold implants and Goretex patches were found to provide good results in patients selected for facial reanimation.
虽然动态重建手术更适合治疗完全性面瘫患者，但静态手术对各种情况也很有用。一种这样的技术涉及将金重物植入上眼睑。我们已经报告了58例接受金重物植入以恢复眼睑闭合功能的患者的经验，结果令人满意。为了获得更好的美容效果，我们开发了新形状的更薄的重物。每个重物上有四个而不是三个穿孔，能更好地固定在软组织上。由于所有病例中有40%还需要额外的手术来修复面部的其他部位，因此使用聚四氟乙烯（戈尔特斯）软组织贴片进行悬吊，以帮助纠正面部中部和口周不对称。1990年至1996年，22例患者在局部或全身麻醉下接受了这项技术。除2例患者外，未观察到并发症。总体而言，在选择进行面部修复的患者中，金植入物和戈尔特斯贴片都被发现能产生良好的效果。
