Effectiveness of the Gold Weight Trial Procedure in Predicting the Ideal Weight for Lid Loading in Facial Palsy: A Prospective Study

Gold weight implants in the management of paralytic lagophthalmos

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] It has gained widespread acceptance because of its low rate of complications and the relative simplicity of the surgical procedures. Though other materials have been used to load the upper eyelid, gold is considered the material of choice because of its inertness, high density, malleability, non-allergic properties and because it provides good colour camouflage in the Caucasian population.…”

“…Paralytic lagophthalmos subsequent to facial nerve damage can have significant and profound long-term sequelae if it is not managed promptly and effectively. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] The management algorithm depends on the severity and the likely duration of recovery (Table 2). Management can be broadly divided into surgical and non-surgical methods.…”

“…A variety of surgical techniques have been described with differing success, these include tarsorrhaphies, muscle transfers, fascia lata and silicone slings, palpebral springs and upper eyelid weights. 13 Insertion of implants into the upper eyelid is a popular technique used to correct lagophthalmos, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] where lid closure is achieved by the gravitational action of the predetermined weight, while the functioning levator palpebrae superioris muscle is able to open the eyelid. Gold weights are the most commonly implanted material and have the advantage of being relatively inert, providing good colour camouflage, high density, malleable and non allergenic.…”

Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results)

“…По данным литературы, для примененной нами методики подбора имплантата характерна 30% ча-стота недокоррекции лагофтальма [13]. При иссле-довании на 36-м месяце остаточный лагофтальм (среднее значение 0,5 мм) регистрировали в 18 (28,5%) случаях.…”

Correction of paralytic lagophthalmos

“…С того времени имплантат совершенству-ется постоянно: изменяется его форма и толщина; распо-ложение, форма и величина отверстий, что позволило снизить количество осложнений. В настоящее время в мировой практике наиболее распространены монолитные имплантаты из золота, весом от 0,8 до 2 г, имеющие не-сколько отверстий [3,14,[26][27][28][29].…”