안면신경마비에서 상안검 금판삽입술 2례

Paralysis of the facial nerve can result in serious keratopathy because of corneal exposure and inadequate lacrimation. Thus, management of paralysis following facial nerve injury, protection of the cornea is a primary concern.

Tarsorrhaphy has been a primary means of surgical treatment, but it does not allow active eyelid closure, restricts peripheral vision, and is cosmetically displeasing. Reanimation of the paralyzed eyelids with a gold weight implantation has overcome these limitations.

Recently, we experienced two cases of facial paralysis, which were treated with gold weight implantation into the upper eyelid to close by force of gravity when levator palpebri is relaxed, with good result.