Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy

Tarek A Amer1, Hisham M El-Minawi1, Malak I El-Shazly21Department of Plastic Surgery, 2Department of Ophthalmology, Cairo University, Cairo, EgyptBackground: Lagophthalmos is a condition that results from facial paralysis causing functional as well as esthetic problems. This condition can be treated...

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Autores principales:	El-Shazly MI, El-Minawi HM, Amer TA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/744bac989c5f4681ae28b876de298491
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spelling	oai:doaj.org-article:744bac989c5f4681ae28b876de2984912021-12-02T02:14:14ZLow-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy1177-54671177-5483https://doaj.org/article/744bac989c5f4681ae28b876de2984912011-06-01T00:00:00Zhttp://www.dovepress.com/low-level-versus-high-level-placement-of-gold-plates-in-the-upper-eyel-a7776https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tarek A Amer1, Hisham M El-Minawi1, Malak I El-Shazly21Department of Plastic Surgery, 2Department of Ophthalmology, Cairo University, Cairo, EgyptBackground: Lagophthalmos is a condition that results from facial paralysis causing functional as well as esthetic problems. This condition can be treated by a range of techniques, including tarsorrhaphy, facial slings, and canthopexies. Gold plates provide a solution for temporary or permanent lagophthalmos resulting from facial paralysis. This study discusses the use of gold plates in the treatment of lagophthalmos but with the introduction of gold plates in two different positions in the upper lids.Methods: Group 1 (38 eyes) had a low level of placement (2 mm from the lid margin) of gold plates, while Group 2 (23 eyes) had a high level of placement (5 mm from the lid margin).Results: Noticeable bulge was seen in 18.4% of Group 1 eyes compared with 13% in Group 2, and migration of the plate occurred in 2.6% and 0% of eyes in Group 1 and Group 2, respectively, as well as ptosis (7.8% and 4.3%) and conjunctival perforation (0% and 4.3%). The degree of improvement of eyelid closure, keratopathy, and visual acuity were the same for both techniques.Conclusion: Placement of gold plates at a higher level could avoid some of the drawbacks of lower level placement of these plates, such as upper eyelid bulge and ptosis, especially given the thinning of the eyelids and orbicularis muscles that occurs in facial palsy.Keywords: lagophthalmos, tarsorrhaphy, gold plates, keratopathyEl-Shazly MIEl-Minawi HMAmer TADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 891-895 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 El-Shazly MI El-Minawi HM Amer TA Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
description	Tarek A Amer1, Hisham M El-Minawi1, Malak I El-Shazly21Department of Plastic Surgery, 2Department of Ophthalmology, Cairo University, Cairo, EgyptBackground: Lagophthalmos is a condition that results from facial paralysis causing functional as well as esthetic problems. This condition can be treated by a range of techniques, including tarsorrhaphy, facial slings, and canthopexies. Gold plates provide a solution for temporary or permanent lagophthalmos resulting from facial paralysis. This study discusses the use of gold plates in the treatment of lagophthalmos but with the introduction of gold plates in two different positions in the upper lids.Methods: Group 1 (38 eyes) had a low level of placement (2 mm from the lid margin) of gold plates, while Group 2 (23 eyes) had a high level of placement (5 mm from the lid margin).Results: Noticeable bulge was seen in 18.4% of Group 1 eyes compared with 13% in Group 2, and migration of the plate occurred in 2.6% and 0% of eyes in Group 1 and Group 2, respectively, as well as ptosis (7.8% and 4.3%) and conjunctival perforation (0% and 4.3%). The degree of improvement of eyelid closure, keratopathy, and visual acuity were the same for both techniques.Conclusion: Placement of gold plates at a higher level could avoid some of the drawbacks of lower level placement of these plates, such as upper eyelid bulge and ptosis, especially given the thinning of the eyelids and orbicularis muscles that occurs in facial palsy.Keywords: lagophthalmos, tarsorrhaphy, gold plates, keratopathy
format	article
author	El-Shazly MI El-Minawi HM Amer TA
author_facet	El-Shazly MI El-Minawi HM Amer TA
author_sort	El-Shazly MI
title	Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
title_short	Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
title_full	Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
title_fullStr	Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
title_full_unstemmed	Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
title_sort	low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/744bac989c5f4681ae28b876de298491
work_keys_str_mv	AT elshazlymi lowlevelversushighlevelplacementofgoldplatesintheuppereyelidinpatientswithfacialpalsy AT elminawihm lowlevelversushighlevelplacementofgoldplatesintheuppereyelidinpatientswithfacialpalsy AT amerta lowlevelversushighlevelplacementofgoldplatesintheuppereyelidinpatientswithfacialpalsy
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Low-level versus high-level placement of gold plates in the upper eyelid in patients with facial palsy

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