Cerclage sling technique using temporalis muscle fascia to manage paralytic lagophthalmos: A preliminary study.

Autor:	Barros VPO; Ophthalmology Department, Medical School of State University of Sao Paulo - UNESP, Botucatu, 18618-970, São Paulo State, Brazil., Chaves ILC; Ophthalmology Department, Medical School of State University of Sao Paulo - UNESP, Botucatu, 18618-970, São Paulo State, Brazil., Meneghim RLFS; Ophthalmology Department, Medical School of State University of Sao Paulo - UNESP, Botucatu, 18618-970, São Paulo State, Brazil., Padovani CR; Biostatistics Department, Bioscience Institute of State University of Sao Paulo - UNESP, Botucatu, Brazil., Schellini SA; Ophthalmology Department, Medical School of State University of Sao Paulo - UNESP, Botucatu, 18618-970, São Paulo State, Brazil. Electronic address: sschellini@gmail.com.
Jazyk:	angličtina
Zdroj:	Journal francais d'ophtalmologie [J Fr Ophtalmol] 2024 Apr; Vol. 47 (4), pp. 104094. Date of Electronic Publication: 2024 Feb 20.
DOI:	10.1016/j.jfo.2024.104094
Abstrakt:	Purpose: Despite various existing surgical techniques, treatment of facial nerve palsy remains difficult. The purpose of this report is to present the cerclage sling technique using temporalis fascia to manage paralytic lagophthalmos. Methods: A series of six patients underwent a cerclage sling technique using temporalis muscle fascia to treat paralytic lagophthalmos. The technique is presented in detail. Symptoms, palpebral fissures, and lagophthalmos were assessed pre- and postoperatively. Data were submitted for statistical analysis. Results: After surgery, all patients achieved a reduction in clinical symptoms. The upper eyelids had lowered, and the inferior eyelids had elevated, reducing ocular exposure even if mild residual lagophthalmos was present. Conclusion: Cerclage using the temporalis muscle fascia sling technique is a safe and effective procedure to treat facial nerve paralytic lagophthalmos. A reduction in ocular exposure and lagophthalmos provides improvement in clinical symptoms and eyelid function. (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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