Surgical treatment of lagophthalmos in facial palsy: ear cartilage graft for elongating the levator palpebrae muscle.
Abstract
Ocular exposure, conjunctival irritation and corneal keratitis are disturbing consequences of facial paralysis with lagophthalmos. Many techniques have been described for correcting this condition. A new method for decreasing the palpebral fissure is presented. An ear cartilage graft is interposed between the tarsal plate and the levator palpebrae superioris muscle. 12 patients with paralysis of the orbicularis oculi muscle, as assessed by electromyography, were treated with this technique. The palpebral fissure was decreased by 2-3 mm in all cases. 11 patients showed significant improvement of their eye symptoms. One patient, in whom the palpebral fissure could not be closed sufficiently to protect the eye, required additional lengthening by 4 mm of the cartilage graft and a lateral tarsorrhaphy.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | palpebral
|
눈꺼풀 | dict | 3 | |
| 해부 | levator palpebrae
|
상안검거근 | dict | 2 | |
| 재료 | ear cartilage
|
이개연골 | dict | 2 | |
| 해부 | ear cartilage graft
|
scispacy | 1 | ||
| 해부 | levator palpebrae muscle
|
scispacy | 1 | ||
| 해부 | conjunctival
|
scispacy | 1 | ||
| 해부 | corneal
|
scispacy | 1 | ||
| 해부 | facial
|
scispacy | 1 | ||
| 해부 | levator palpebrae superioris muscle
|
scispacy | 1 | ||
| 해부 | orbicularis oculi muscle
|
scispacy | 1 | ||
| 해부 | eye
|
scispacy | 1 | ||
| 해부 | cartilage graft
|
scispacy | 1 | ||
| 해부 | lateral
|
scispacy | 1 | ||
| 합병증 | palpebral fissure
|
scispacy | 1 | ||
| 질환 | lagophthalmos
|
C0152226
Lagophthalmos
|
scispacy | 1 | |
| 질환 | palsy
|
C0522224
Paralysed
|
scispacy | 1 | |
| 질환 | conjunctival irritation
|
C0239093
Conjunctival irritation
|
scispacy | 1 | |
| 질환 | corneal keratitis
|
C0022568
Keratitis
|
scispacy | 1 | |
| 질환 | paralysis
|
C0522224
Paralysed
|
scispacy | 1 | |
| 질환 | palpebral fissure
|
C0229244
Structure of palpebral fissure
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Adult; Ear Cartilage; Eyelid Diseases; Eyelids; Facial Muscles; Facial Paralysis; Female; Follow-Up Studies; Humans; Male; Middle Aged; Postoperative Period; Surgery, Plastic
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