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Subperiosteal midface lift: its role in static lower eyelid reconstruction after chronic facial nerve palsy.
MedLine Citation:
PMID:  21574803     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose: To describe the effect of subperiosteal midface lift on lower eyelid position of patients with chronic facial nerve palsy. Methods: In an observational prospective study nine patients underwent subperiosteal midface lift. Indications for surgery were lower eyelid paralytic retraction, lagophthalmos, ocular surface disruption, reactive tearing, midface ptosis, and facial asymmetry. Exclusion criteria were previous rehabilitative oculofacial surgery, and facial nerve palsy onset less than a year. Preoperative and postoperative assessment included evaluation of lower eyelid position, lagophthalmos, midfacial ptosis and facial asymmetry. Follow-up was at 1 week, 1 month, 3, and 12 months, postoperatively. Results: All patients referred improvement in their symptoms at 3 and 12 months, postoperatively: lower eyelid position (P=. 004), lagophthalmos (P=. 004), ocular surface symptoms, reactive tearing, and facial symmetry at rest. Conclusions: Subperiosteal midface lift has an effective role in the static lower eyelid malposition correction after chronic facial nerve palsy.
Authors:
Carlo Graziani; Claudio Panico; Giovanni Botti; Richard J Collin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  30     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  England    
Other Details:
Languages:  eng     Pagination:  140-4     Citation Subset:  IM    
Affiliation:
Sperino Eye Hospital, Oculoplastic Service, Turin, Italy.
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