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Sutureless transconjunctival insertion of eyelid gold weight

Surgical intervention for paralytic lagophthalmos has been gold weight implant through supratarsal crease incision for decades. The aim of this study is to propose a modified novel minimally invasive approach that can be described as sutureless and transconjunctival placement of eyelid weights. Unil...

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Published in:American journal of otolaryngology 2023-07, Vol.44 (4), p.103874-103874, Article 103874
Main Authors: Ozturan, Orhan, Yenigun, Alper, Senturk, Erol, Aksoy, Fadlullah
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creator Ozturan, Orhan
Yenigun, Alper
Senturk, Erol
Aksoy, Fadlullah
description Surgical intervention for paralytic lagophthalmos has been gold weight implant through supratarsal crease incision for decades. The aim of this study is to propose a modified novel minimally invasive approach that can be described as sutureless and transconjunctival placement of eyelid weights. Unilateral eyelid gold weights were implanted in six patients due to paralytic lagophthalmos secondary to peripheral facial nerve palsy. The patients were followed for an average of 6 months. Functional and aesthetically desired results were obtained in all six patients with suture-free transconjunctival placement of the eyelid weight. The patients did not experience any discomfort and avoided the burden of suture removal after the surgery. No complications developed in six patients during the postoperative period. Sutureless transconjunctival insertion of eyelid weight without external incision and suturing is practical, relatively easy and fast to perform. It preserves attachment of the levator muscle to the tarsus and presents functional results similar to conventional method. Fixing the implant with sutures to the tarsal plate is not needed. Sutureless of this method avoids external wound care, burden of suture removal for both surgeons and patients, and hence, suture related complications are eliminated.
doi_str_mv 10.1016/j.amjoto.2023.103874
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subjects Blepharoplasty - methods
Eyelid Diseases - etiology
Eyelid weight
Eyelids - innervation
Eyelids - surgery
Facial nerve palsy
Facial Paralysis - surgery
Gold
Humans
Lagophthalmos
Prostheses and Implants - adverse effects
Treatment Outcome
title Sutureless transconjunctival insertion of eyelid gold weight
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