Management of the eye after iatrogenic facial paralysis

Peter J. Catalano, Michael J. Bergstein, Chandranath Sen, Kalmon Post

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

THE AESTHETIC AND functional morbidity associated with facial palsy is significant. Fortunately, corneal exposure and ulceration with the potential for the loss of visual acuity can be minimized by eyelid procedures such as gold weight implantation and horizontal eyelid shortening. Although primarily designed for restoration of eyelid function, these procedures also improve ocular cosmesis. However, uncertainty remains regarding the indications for eyelid surgery: When should surgery be performed, in whom, and which procedure(s)? On the basis of our series of 60 patients evaluated for facial paralysis, guidelines for the management of the paralyzed eyelids after iatrogenic injury to the facial nerve are proposed.

Original languageEnglish
Pages (from-to)259-263
Number of pages5
JournalNeurosurgery
Volume35
Issue number2
DOIs
StatePublished - Aug 1994

Keywords

  • Eye
  • Facial palsy
  • Rehabilitation

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