Objective: A devastating sequela of facial paralysis is the inability to close the eye. The resulting loss of corneal protection can potentially lead to severe consequences. Eyelid weight placement, lower eyelid suspension, and brow ptosis correction are frequently performed to protect the eye. We sought to measure and report the change in quality of life (QOL) after surgical treatment of the periocular complex, using the validated Facial Clinimetric Evaluation (FaCE) QOL instrument.
Methods: From March 2009 to May 2010, 49 patients presenting to the Facial Nerve Center with paralytic lagophthalmos requiring intervention were treated with static periocular reanimation. Thirty-seven of the patients completed preoperative and postoperative FaCE surveys.
Results: Overall QOL, measured by the FaCE instrument, significantly improved following static periocular treatment. Mean FaCE scores increased from 44.1 to 52.7 (P < .001). Patients also reported a significant decrease in the amount of time their eye felt dry, irritated, or scratchy (P < .001). The amount of artificial tears and/or ointment also significantly decreased (P = .03). There were 2 cases of localized cellulitis with 1 eyelid weight extrusion.
Conclusions: We report the first series of postoperative QOL changes following static periocular treatment for paralytic lagophthalmos. Patients report a notable improvement in periocular comfort and overall QOL.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1001/archfacial.2011.9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Surgical Management of the Eye in Facial Palsy.
Facial Plast Surg
December 2024
Department of ENT and Facial Plastic Surgery, The Royal National ENT & Eastman Dental Hospital, University College London NHS Foundation Trust, London, United Kingdom.
The surgical management of the periocular region in facial palsy is a critical aspect of addressing the ocular morbidity associated with facial paralysis. The reconstruction around the eye in facial palsy should take into account the duration of the facial palsy and underlying ocular pathologies. Exposure keratopathy can develop secondary to lagophthalmos, ectropion, and brow ptosis.
View Article and Find Full Text PDFTherapeutic Effectiveness of Microneedling Radio Frequency in Different Areas of Periorbital Static Wrinkles: A Self-Controlled Study.
J Cosmet Dermatol
November 2024
Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Background: Periocular static wrinkles, which are common cosmetic concerns, lack an established effective treatment. Microneedling radio frequency (MNRF) has shown promise in skin rejuvenation; however, there is limited objective information on its long-term effectiveness with regard to periocular static wrinkles.
Aims: This study aimed to evaluate the clinical efficacy and safety of MNRF treatment for periocular static wrinkles.
Triple nerve transfers for the management of early unilateral facial palsy.
J Plast Surg Hand Surg
August 2023
Plastic and Reconstructive Surgery Division, Hospital General 'Dr. Manuel Gea Gonzalez', Mexico City, Mexico.
Background: Early onset facial paralysis is usually managed with cross-face nerve grafts, however the low number of axons that reach the target muscle may result in weakness or failure. Multiple-source innervation, or 'supercharging', seeks to combine the advantages of different donor nerves while minimizing their weaknesses. We propose a combination of cross-face nerve grafts with local extra-facial nerve transfers to achieve earlier facial reanimation in our patients.
View Article and Find Full Text PDFCombination of fractional carbon dioxide laser with recombinant human collagen in periocular skin rejuvenation.
J Cosmet Dermatol
January 2024
Department of Dermatology, The East Division of The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Background: The most visible sign of facial aging is often seen in the periocular area. However, periocular rejuvenation remains challenging due to the particularity of periocular anatomic locations.
Aims: We aimed to evaluate the efficacy and safety of the fractional-ablative CO laser-facilitated recombinant human collagen permeation in periocular rejuvenation.
Background: Although a portable 3-dimensional (3D) imaging system has been used for periocular measurement analysis, this system has yet to be tested and validated for periocular area and volume measurements.
Objectives: The aim of this study was to define the upper eyelid and upper eyelid fold region through a modified landmark strategy and validate a portable 3D imaging system for area and volume measurements in this periocular region.
Methods: Eighty-one healthy adult Caucasians underwent 3D facial imaging with the VECTRA M3 (static) and VECTRA H2 (portable) 3D imaging systems (Canfield Scientific, Inc.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!