Two Cases of Gold Eyelid Implantation for Facial Paralysis

Jeong, Sang Sool; Yoon, Yong Ju; Kim, Young Ki

doi:10.35420/jcohns.1993.4.2.386

J Clin Otolaryngol Head Neck Surg 1993; 4(2):386-390

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1993.4.2.386

종설

안면신경마비에서 상안검 금판삽입술 2례

정상술¹, 윤용주¹, 김영기¹

Two Cases of Gold Eyelid Implantation for Facial Paralysis

Sang Sool Jeong¹, Yong Ju Yoon¹, Young Ki Kim¹

Author Information & Copyright ▼

¹전북대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology-Head and Neck surgery, School of Medicine，Chonbuk National University

© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

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.

Keywords: Facial Paralysis; Gold Implantation