A Technique of Value in the Surgical Treatment of Facial Palsy

Mt, Edgerton; Fg, Wolfort

doi:10.1097/00006534-196901000-00007

Cited by 53 publications

(2 citation statements)

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“…Lower eyelid malposition, with severity ranging from increased scleral show to ectropion, is the most common complication following a lower eyelid blepharoplasty. 3 …”

Section: Discussionmentioning

confidence: 99%

“…Lower eyelid malposition, with severity ranging from increased scleral show to ectropion, is the most common complication following a lower eyelid blepharoplasty. 3 “Round eye” is an anatomical condition in which the sclera area is exposed. 4 As a matter of fact, anterior lamellar shortening, excessive skin removal, and scar contracture following a lower blepharoplasty may be the causative agents for inferior traction and eyelid rounding, leading to excessive scleral show.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Tips for Aesthetic Lower Lid Blepharoplasty: Prevention of Round Eye

Klinger

Vinci

Romeo

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Purpose: In the present study, we highlight surgical tips based on our experience in lower eyelid blepharoplasty. These have been shown to be crucial in the prevention of several complications, specifically lateral lower-lid displacement. Methods: A series of bilateral lower-lid blepharoplasties were performed on 280 patients at Humanitas-Research-Hospital (Milan, Italy) between January 2016 and January 2020. Patients with a history of lower-lid blepharoplasty and patients requiring canthopexy/canthoplasty were excluded. Needing to singularly evaluate and correct several lower-eyelid structures to obtain a harmonic result, we preoperatively assessed the amount of skin excess, the eyelid margin malposition relative to the globe, and the presence/absence of herniated fat-pads. Pre- and postoperative standard photographs were collected. Patients were evaluated by measuring scleral show, snap-back test, and distraction test. Blinded-fashioned photograph analysis was performed by independent plastic and oculoplastic surgeons who did not execute the procedures. A visual analogue scale was administered to all patients to assess satisfaction. Results: In total, 280 patients underwent successful lower blepharoplasty, with satisfactory results of scleral show, snap-back test, and distraction test. Of the 280 patients, four presented postoperative complications. At 10-month follow-up visit, we achieved a mean patient visual analogue scale satisfaction score of 8.4. Postoperative surgeon’s photographs mean score was 4.5. Conclusions: Without the use of muscle flaps, our technique averts tarsal ligament misposition, preserves orbicularis-muscle innervation, and limits thermal spread, assuring excellent stability of results and high patient and surgeon satisfaction. Cosmetic outcome in terms of symmetry, appearance, and lower lid line definition revealed high satisfaction with the result over time, with a remarkably low complication rate.

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“…Lower eyelid malposition, with severity ranging from increased scleral show to ectropion, is the most common complication following a lower eyelid blepharoplasty. 3 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Tips for Aesthetic Lower Lid Blepharoplasty: Prevention of Round Eye

Klinger

Vinci

Romeo

et al. 2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

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Extended Lower Eyelid Blepharoplasty

Small¹

1981

Archives of Ophthalmology

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Facial nerve reconstruction in salivary gland pathology: A review

Terzis

Schnarrs

1993

Microsurgery

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e reconstruction of the facial nerve must begin with the realization that, at present, there is no perfect result. Having accepted this premise, the surgeon and patient are then able to formulate a reasonable rehabilitative plan. This will frequently require multiple procedures spanning many years. Many factors will influence the rehabilitative plan, including To effect facial motion, one requires available proximal motor, satisfactory impulse transmission, and functional target muscle. Each component must be individually analyzed within the context of the factors influencing the rehabilitative plan. The goal of facial nerve reconstruction is symmetrical, coordinated and synchronous voluntary and involuntary motion from a normal appearance at rest with competent sphincters and no sacrifice of other functions. As stated previously, this is not within the realm of our current capabilities but does serve as an idealistic point of future endeavour.

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A Technique of Value in the Surgical Treatment of Facial Palsy

Cited by 53 publications

References 0 publications

Surgical Tips for Aesthetic Lower Lid Blepharoplasty: Prevention of Round Eye

Surgical Tips for Aesthetic Lower Lid Blepharoplasty: Prevention of Round Eye

Extended Lower Eyelid Blepharoplasty

Facial nerve reconstruction in salivary gland pathology: A review

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