The use of the malar implant to augment the malar-zygomatic eminence is rapidly becoming a popular aesthetic procedure; however, this surgery can lead to paralysis or paresis of the facial nerve. Paralytic ectropion may result from orbicularis oculi dysfunction. We report two cases of paralytic ectropion as a result of malar implant placement. Conservative management for mild orbicularis oculi dysfunction consisted of topical lubricants and observation, whereas persistent ectropion required surgical repair. Paralytic ectropion and secondary exposure keratopathy are possible complications of malar implant surgery.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Combining early lower eyelid surgery with neuromuscular retraining for synkinesis prevention after facial palsy: the role of the eye in aberrant facial nerve regeneration.
Front Neurol
September 2024
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, United States.
Article Synopsis
- Facial synkinesis (FS) is a problem where facial muscles move involuntarily when someone tries to make a facial expression, often happening after facial palsy (FP).
- The study tested whether combining physical therapy for the face with eyelid surgery helps people recover better and avoid FS compared to just using physical therapy alone.
- Results showed that patients who had both treatments recovered faster and didn't develop FS, while some patients who only had physical therapy developed FS.
Enhancing Lower Eyelid Suspension Outcomes Through Pre-surgical Facial Nerve Reanimation: A Comparative Study.
Aesthetic Plast Surg
November 2024
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Article Synopsis
- Lower eyelid suspension is a common procedure for correcting eyelid issues caused by facial paralysis, but it has high recurrence rates among patients without facial muscle function.
- This study involved 32 individuals with complete facial paralysis, comparing those who had facial nerve reconstruction (group A) with those who didn’t (group B) to assess the long-term effectiveness of eyelid corrections.
- Results showed that group A experienced significantly better improvements in eyelid function, indicating that restoring muscle tension before surgery could enhance and maintain treatment outcomes.
Simultaneous Reconstruction of Smiling Eye Using V-Shaped Long Latissimus Dorsi Muscle Transfer in Patients with Flaccid Facial Paralysis.
Plast Reconstr Surg
October 2024
From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo.
Article Synopsis
- Various neurovascular free muscle transfer techniques for facial paralysis typically focus on perioral smiling, neglecting the importance of upward movement in the lower eyelid for smile reconstruction.
- A novel procedure using a V-shaped latissimus dorsi muscle flap connected to specific nerves enables both eye and mouth smiling, enhancing facial expressions.
- In a study with 9 patients, the technique resulted in improved eyelid closure and spontaneous smiling in 7 of them, effectively addressing issues related to facial paralysis.
Clinical Importance of the Lateral Tarsal Strip Procedure by a Single Experienced Oculoplastic Surgeon: 8 Years of Experience in a Tertiary Medical Center (Cross-Sectional Study).
J Craniofac Surg
October 2023
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
Lateral tarsal strip (LTS) is a simple surgical technique that can correct eyelid malposition. Clinical indications vary from involutional entropion and ectropion, lower eyelid laxity, and lower eyelid retraction to punctal and paralytic ectropion. Lateral tarsal strip mainly treats eyelid malposition by correcting horizontal laxity.
View Article and Find Full Text PDFWant 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!