2003
DOI: 10.1001/archfaci.5.5.427
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Comprehensive Midfacial Elevation for Ocular Complications of Facial Nerve Palsy

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Cited by 32 publications
(29 citation statements)
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“…In the HPMG group, however, they reported a corneal abrasion rate of 17%, which is presumably related to spacer graft. Elner et al 34 also describe a comprehensive MFL with or without HPMG and lateral canthal tightening in patients with lower-eyelid retraction or ectropion in 11 patients with facial nerve palsy. They found an overall improvement of 1.4 mm.…”
Section: Discussionmentioning
confidence: 99%
“…In the HPMG group, however, they reported a corneal abrasion rate of 17%, which is presumably related to spacer graft. Elner et al 34 also describe a comprehensive MFL with or without HPMG and lateral canthal tightening in patients with lower-eyelid retraction or ectropion in 11 patients with facial nerve palsy. They found an overall improvement of 1.4 mm.…”
Section: Discussionmentioning
confidence: 99%
“…5,6,8,[12][13][14][15][16][17][18] The cases presented in this report lacked significant middle lamellar cicatricial changes. 5,6,8,[12][13][14][15][16][17][18] The cases presented in this report lacked significant middle lamellar cicatricial changes.…”
Section: Discussionmentioning
confidence: 99%
“…The problem encountered with all of these materials is potential shrinkage of the graft. [24][25][26][27] Hard palate mucosa is perhaps the most commonly used material, but some find the donor-site morbidity to be unacceptable. Taban et al compared thin acellular dermis (AlloDerm; Lifecell Corporation, Branchburg, NJ) to thick acellular dermis and partialthickness hard palate mucosa and found that AlloDerm provided superior results.…”
Section: Cicatricial Ectropionmentioning
confidence: 99%
“…Some authors describe simultaneous subperiosteal midface lifting in addition to these procedures, but the efficacy of adding a midface or SOOF lift has not been demon-strated in the literature. 24,29 We routinely place a lower lid splint or Frost stitch, as described below, to support the lid in a slightly elevated position for the first 7 to 10 days of the postoperative period. This is not typically described in articles on spacer placement, but we posit that failure to provide added lid support may be a major reason for failure of these procedures.…”
Section: Middle/posterior Lamella ''Spacer'' Graftingmentioning
confidence: 99%