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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 |
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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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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.</description><identifier>ISSN: 0196-0709</identifier><identifier>EISSN: 1532-818X</identifier><identifier>DOI: 10.1016/j.amjoto.2023.103874</identifier><identifier>PMID: 37011541</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>American journal of otolaryngology, 2023-07, Vol.44 (4), p.103874-103874, Article 103874</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c311t-1b0f4d439ba07b6739db9574f9b723bd524eb5d709eb8bbe6958c5aa1b011ebe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37011541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozturan, Orhan</creatorcontrib><creatorcontrib>Yenigun, Alper</creatorcontrib><creatorcontrib>Senturk, Erol</creatorcontrib><creatorcontrib>Aksoy, Fadlullah</creatorcontrib><title>Sutureless transconjunctival insertion of eyelid gold weight</title><title>American journal of otolaryngology</title><addtitle>Am J Otolaryngol</addtitle><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.</description><subject>Blepharoplasty - methods</subject><subject>Eyelid Diseases - etiology</subject><subject>Eyelid weight</subject><subject>Eyelids - innervation</subject><subject>Eyelids - surgery</subject><subject>Facial nerve palsy</subject><subject>Facial Paralysis - surgery</subject><subject>Gold</subject><subject>Humans</subject><subject>Lagophthalmos</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Treatment Outcome</subject><issn>0196-0709</issn><issn>1532-818X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kF1LwzAUhoMobk7_gUgvvelMmqZtQAQZfsHACxW8C_k4nSldM5N0sn9vR9VLrw4cnvd8PAidEzwnmBRXzVyuGxfdPMMZHVq0KvMDNCWMZmlFqvdDNMWEFykuMZ-gkxAajDHNKTtGE1piQlhOpuj6pY-9hxZCSKKXXdCua_pOR7uVbWK7AD5a1yWuTmAHrTXJyrUm-QK7-oin6KiWbYCznzpDb_d3r4vHdPn88LS4XaaaEhJTonCdm5xyJXGpipJyozgr85qrMqPKsCwHxcxwJ6hKKSg4qzSTcsgRAgroDF2OczfeffYQoljboKFtZQeuDyIrOaMFzng2oPmIau9C8FCLjbdr6XeCYLH3JhoxehN7b2L0NsQufjb0ag3mL_QragBuRgCGP7cWvAjaQqfBWA86CuPs_xu-ASvIgSw</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Ozturan, Orhan</creator><creator>Yenigun, Alper</creator><creator>Senturk, Erol</creator><creator>Aksoy, Fadlullah</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202307</creationdate><title>Sutureless transconjunctival insertion of eyelid gold weight</title><author>Ozturan, Orhan ; Yenigun, Alper ; Senturk, Erol ; Aksoy, Fadlullah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-1b0f4d439ba07b6739db9574f9b723bd524eb5d709eb8bbe6958c5aa1b011ebe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Blepharoplasty - methods</topic><topic>Eyelid Diseases - etiology</topic><topic>Eyelid weight</topic><topic>Eyelids - innervation</topic><topic>Eyelids - surgery</topic><topic>Facial nerve palsy</topic><topic>Facial Paralysis - surgery</topic><topic>Gold</topic><topic>Humans</topic><topic>Lagophthalmos</topic><topic>Prostheses and Implants - adverse effects</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozturan, Orhan</creatorcontrib><creatorcontrib>Yenigun, Alper</creatorcontrib><creatorcontrib>Senturk, Erol</creatorcontrib><creatorcontrib>Aksoy, Fadlullah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozturan, Orhan</au><au>Yenigun, Alper</au><au>Senturk, Erol</au><au>Aksoy, Fadlullah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sutureless transconjunctival insertion of eyelid gold weight</atitle><jtitle>American journal of otolaryngology</jtitle><addtitle>Am J Otolaryngol</addtitle><date>2023-07</date><risdate>2023</risdate><volume>44</volume><issue>4</issue><spage>103874</spage><epage>103874</epage><pages>103874-103874</pages><artnum>103874</artnum><issn>0196-0709</issn><eissn>1532-818X</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37011541</pmid><doi>10.1016/j.amjoto.2023.103874</doi><tpages>1</tpages></addata></record> |
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source | ScienceDirect Freedom Collection 2022-2024 |
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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