The First Experience with Gold Eyelid Implants in Facial Nerve Palsies
Authors:
M. Odehnal; J. Malec; D. Dotřelová
Authors‘ workplace:
Oční klinika dětí a dospělých 2. LF UK a FN, Praha-Motol, přednostka prof. MUDr. D. Dotřelová, CSc.
Published in:
Čes. a slov. Oftal., 64, 2008, No. 3, p. 95-99
Overview
The authors in a clinical study refer about their first experience of gold eyelid implants application in lagophthalmos treatment in facial nerve (cranial nerve VII) palsies. The implant, thanks its weight and the gravitation, facilitates to the patients to close their interpalpebral fissure. The implants are implanted in to the subcutis of the upper eyelid and are sutured to the anterior surface of the tarsal plate. The aim of the surgery is to lower the risk of the damage of the eye due to the exposure keratopathy and to allow the patients to control better the eyelid function. The gold as a material is well tolerated by the human body. The shape of the implant and the way of application ensure good functional results. Altogether 5 adult patients were operated on at the Department of Ophthalmology. The House-Brackmann score was used to evaluate the effectiveness of the surgery, or the stage of the closing of the interpalpebral fissure before and after the surgery. This score evaluates the palpebral sphincter function according the grade of involvement. The selection of the implants, their indication and surgery procedure are discussed.
Key words:
gold implant, facial nerve palsy, lagophthalmos, upper eyelid
Sources
1. Aggarwal, E., Naik, M.N., Honavar, S.G.: Effectiveness of the gold weight trial procedure in predicting the ideal weight for lid loading in facial palsy: a prospective study. Am J Ophthalmol., 143, 2007, 6: 1009-1012.
2. Demann, E.T., Stein, P.S., Haubenreich, J.E.: Gold as an implant in medicine and dentistry. J Long Term Eff Med Implants, 15, 2005, 6: 687-98.
3. Dinces, E.A., Mauriello, J.A. Jr., Kwartler, J.A. et al.: Complications of gold weight eyelid implants for treatment of fifth and seventh nerve paralysis. Laryngoscope, 107, 1997,12: 1617-22.
4. Gladstone, G.J., Nesi, F.A.: Management of paralytic lagophthalmos with a modified gold-weight implantation technique. Ophthal Plast Reconstr Surg, 12, 1996,1: 38-44.
5. Goldhahn, A., Schrom, T., Berghaus, A. et al.: Corneal astigmatism as a special complication after lid-loading in patiens with lagophthalmos. Ophthalmologe, Aug, 96 , 1997,8: 494-7.
6. Choi, H.Y., Hong, S.E., Lew, J.M.: Long-term comparison of a newly designed gold implant with the conventional implant in facial nerve paralysis. Plast Reconstr Surg., 104, 1997,6: 1624-34.
7. Jacob, J.T., Pendleton, K., Broussard, E. et al.: Porous alloplastic material encasement of gold weights for the treatment of paralytic lagophthalmos. Ophthal Plast Reconstr Surg., 15, 1999, 6: 401-6.
8. Kao, C.H., Moe, K.S.: Retrograde weight implantation for correction of lagophthalmos. Laryngoscope, 114, 2004, 9: 1570-5.
9. Kartush, J.M., Linstrom, C.J., McCann, P.M. et al.: Early gold weight eyelid implantation for facial paralysis.Otolaryngol Head Neck Surg., 103, 1990, 6: 1016-23.
10. Kuntheseth, S.: Reanimation of the lagophthalmos using stainless steel weight implantation; a new approach and prospective evaluation. Int J Lepr Other Mycobact Dis., 67, 1999, 2: 129-32.
11. Mohr, A.: Pretarsal platinum-iridium implants for therapy of lagophthalmos in facial paralysis. Preliminary results. Ophthalmology, 94, 1997, 8: 600-2.
12. Nazzi, V., Marras, C., Broggi, G.: Upper eyelid gold weight implants in patients with facial nerve palsy. Surgical technique. J Neurosurg Sci., 50, 2006, 4: 107-10.
13. Pausch, N., Sterker, I., Hemprich, A. et al.: Restoration of lid function in peripheral facial palsy by implanting gold weights. Mund Kiefer Gesichtschir., 10, 2006, 3: 135-40.
14. Schrom, T., Bauknecht, H., Berghaus, A. et al.: Effects of magnetic resonance tomography on upper eyelid implants. HNO., 53, 2005, 8: 741-6.
15. Schrom, T., Goldhahn, A., Neumann, K. et al.: Risks of upper eyelid gold implantation in peripheral facial paralysis. HNO., 47, 1999, 4: 262-8
16. Schrom, T., Habermann, A., Wernecke, K. et al.: Implantation of lid weights for therapy of lagophthalmos. Ophthalmologe, 102, 2005, 12: 1186-92.
17. Schrom, T., Loch, A., Holzl, M. et al.: Evaluation of a new lid implant for rehabilitation of the paralyzed eye. Laryngorhinootologie, 85, 2006, 1: 38-42.
18. Schrom, T., Taege, C., Wolf, G. et al.: Histopathology after implantation of lid weights. HNO., 4, 2006, 8: 591-598.
19. Terng, S.C., Rijnders, W., Kon, M. et al.: Custom-made gold plate prosthesis in the upper eyelid in patients with facial paralysis: improved eyelid closure with less effects on other eye complaints. Ned Tijdschr. Geneeskd., 144, 2000, 17: 800-4.
20. Townsend, D.J.: Eyelid reanimation for the treatment of paralytic lagophthalmos: historical perspectives and current applications of the gold weight implant. Ophthal Plast Reconstr Surg., 8, 1992, 3: 196-201.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2008 Issue 3
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