THE EXPERIENCE OF SURGICAL CORRECTION OF PARALYTIC LAGOPHTHALMOS

Lagophthalmos is an incomplete closure of the eyelids. The causes of this occurrence are most often dysfunction of the facial nerve and its branches. In case of chronic paralysis, the method of loading of the upper eyelid is widely used, which consists in installing an artificial implant to create a more pronounced gravitational traction with № 2 (73) июнь’ 2020 Вопросы реконструктивной и пластической хирургии Пластическая хирургия / Plastic Surgery 23 the aim of passively closing the eyelids. The study involved 15 patients with damage to the facial nerve and the presence of symptoms of incomplete closure of the eyelids, which was managed by installing an individually made gold implant. In the postoperative period, eyelid closure deficiency was assessed along the pupil line and in the medial corner of the eye, and patient satisfaction with the correction result was also evaluated. Deficiency of eyelid closure in the central part along the pupil line 1 month after surgery was noted in 2 of 15 patients (13.3%) and amounted to 22 and 34%. Deficiency of eyelid closure in the medial corner of the eye 1 month after surgery was observed in 3 of 15 patients (20%) and amounted to 43, 49 and 76%. 12 patients (80%) were satisfied with the correction result, 3 (20%) were not satisfied. The causes of dissatisfaction, patients indicated a violation of the passage of tears and a feeling of dry eyes due to incomplete closure of the eyelids in the medial corner of the eye. In order to correct this deficiency, we performed medial cantopexy in 3 patients. After medial cantopexy, a complete closure of the eyelids was achieved and patients noted that they were satisfied with the result.

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