Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCTION. Refractory facial paralysis produces secondary paralytic ectropion, which predisposes to exposure keratopathy and other ocular complications, which must be managed with surgery. OBJECTIVE. Describe the ophthalmic surgical management of refractory facial paralysis using tarsal strip and suspension of the nasolabial fold. MATERIALS AND METHODS. Observational, retrospective study. Population and known sample of 8 Clinical Histories, at the Carlos Andrade Marín Specialty Hospital, period from january 2016 to december 2018. Inclusion criteria: records of facial paralysis and paralytic ectropion. The data were taken from the AS400 system, and analyzed in the statistical program International Business Machines Statistical Package for the Social Sciences, Version 25.0. RESULTS. The tumor aetiology was 62,5% (5; 8). At 6 months after surgery, resolution of: lagophthalmos, lacrimation, ocular burning and keratitis was observed in 87,5% (7; 8); ectropion resolved in all cases and ptosis improved. Visual acuity improved in 75,0% (6; 8). DISCUSSION: The literature showed that the surgical techniques, although they do not address the ophthalmological and aesthetic aspects at the same time, their joint management is still uncertain since it has been little described but has acquired importance due to the results in the Ophthalmology Unit of the hospital. CONCLUSION. The description of ophthalmic surgical management in refractory facial paralysis using the tarsal strip technique and suspension of the nasolabial fold was assertive as a local experience.
Sohrab Mahsa Abugo U, Grant M, Merbs S. Management of the eye in facial paralysis. Facial Plast Surg 2015; 31(2): 140–144. DOI: 10.1055/s-0035-1549292. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0035-1549292
MacIntoch PW, MD, Fay AM, MD. Update on the ophthalmic management of facial paralysis. Survey of Ophthalmology. Elsevier Inc. 2018; 64 (1): 79-89. DOI: 10.1016/j.survophthal.2018.06.001. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0039625718300936
Loyo Myriam, Jones D, Lee LN, MD et al. Treatment of the periocular complex in paralytic lagophthalmos. Annals of Otology, Rhinology and Laryngology, 2015; 124: 273-279. DOI: 10.1177/0003489414560584. Available from: https://journals.sagepub.com/doi/10.1177/0003489414560584
Garrison Leach, Kurnik N, Jaganic J, Joganic E. Multivectored Superficial Muscular Aponeurotic System Suspension for Facial Paralysis. Journal of Craniofacial Surgery: June 2017; 28: 882-887. DOI: 10.1097/SCS.0000000000003501. Disponible: Disponible: https://www.readcube.com/articles/10.1097/SCS.0000000000003501
Eviston TJ, Croxson GR et al. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry 2015; 86: 1356–1361. DOI: 10.1136/jnnp-2014-309563. Disponible: https://jnnp.bmj.com/content/86/12/1356
Joseph SS, Joseph AW et al. Evaluation of Patients with Facial Palsy and Ophthalmic Sequelae: A 23-Year Retrospective Review. Ophthalmic Epidemiol. 2017 Oct; 24: 341-345. DOI: 10.1080/09286586.2017.1294186. Available from: https://www.tandfonline.com/doi/abs/10.1080/09286586.2017.1294186
Callum F, Heiser A, Jowett N, Hadlock T. Minimal Nasolabial Incision Technique for Nasolabial Fold Modification in Patients With Facial Paralysis. JAMA Facial Plast Surg. 2018; 20(2): 148-153. DOI:10.1001/jamafacial.2017.1425. Available from: https://www.liebertpub.com/doi/full/10.1001/jamafacial.2017.1425
Grusha YO, Fedorov AA et al. Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results). ВЕСТНИК ОФТАЛЬМОЛОГИИ 2, 2016: 26-32. DOI: 10.17116/oftalma2016132226-32. Available from: https://pubmed.ncbi.nlm.nih.gov/27213794/
Vijay Kumar Wagh, Wei S. Lim, Nikhil C. Cascone & A. M. S. Morley. Post-septal upper eyelid loading for treatment of exposure keratopathy secondary to non-cicatricial lagophthalmos. Orbit 2016, 35:5, 239-244, DOI: 10.1080/01676830.2016.1176213. Available from: https://pubmed.ncbi.nlm.nih.gov/27541938/
Garcia, Ryan M. M.D.; Hadlock, Tessa A. M.D.; Klebuc, Michael J. M.D.; Simpson, Roger L. M.D., M.B.A.; Zenn, Michael R. M.D., M.B.A.; Marcus, Jeffrey R. M.D. Contemporary Solutions for the Treatment of Facial Nerve Paralysis. Plastic and Reconstructive Surgery: Junio 2015: 135(6): 1025e–1046e. DOI: 10.1097/PRS.0000000000001273. Available from: https://pubmed.ncbi.nlm.nih.gov/27541938/
Tae Suk Oh, Kyunghyun Min, Sin Young Song, Jong Woo Choi, Kyung Suk Koh. Upper eyelid platinum weight placement for the treatment of paralytic lagophthalmos: A new plane between the inner septum and the levator aponeurosis. Archives of Plastic Surgery 2018; 45(3): 222-228. DOI: 10.5999/aps.2017.01599. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29788690/
George Salloum BP, Carruth RH, Hill III, CN, Bersani CT. Transitioning from a gold weight to an “enhanced” palpebral spring in the management of paralytic lagophthalmos secondary to facial nerve palsy. Orbit 2018. DOI: 10.1080/01676830.2018.1497067. Available from: https://www.tandfonline.com/doi/abs/10.1080/01676830.2018.1497067?journalCode=iorb20
Hayashi A1, Yoshizawa H2, Natori Y2, Senda D2, Tanaka R2, Mizuno H2. Levator lengthening technique using cartilage or fascia graft for paralytic lagophthalmos in facial paralysis. J Plast Reconstr Aesthet Surg. 2016; 69(5): 679-86. DOI: 10.1016/j.bjps.2016.01.010. Available from: https://www.sciencedirect.com/science/article/abs/pii/S174868151600022X
Rouffet Alban, Florczak Anne Sophie, Vimont Thibault, Deranque Clément, Boucher Sophie, Rousseau Pascal. Septal chondromucosal grafts in paralytic lagophthalmos. Journal of Plastic, Reconstructive & Aesthetic Surgery 2018; 71(9): 1352 – 1361. DOI: 10.1016/j.bjps.2018.04.021. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1748681518301542
Selam Yekta Sendul, Halil Huseyin Cagatay, Burcu Dirim, Mehmet Demir, Zeynep Acar, Ali Olgun, Efe Can, Dilek Guven. Effectiveness of the Lower Eyelid Suspension Using Fascia Lata Graft for the Treatment of Lagophthalmos due to Facial Paralysis. BioMed Research International Volume 2015, Article ID 759793, 7 pages. DOI: 10.1155/2015/759793. Available from: https://pubmed.ncbi.nlm.nih.gov/25821819/
Hasmat, Shaheen et al. Restoration of eye closure in facial paralysis using implantable electromagnetic actuator. Journal of Plastic, Reconstructive & Aesthetic Surgery 2016; 69(11): 1521 – 1525. DOI: 10.1016/j.bjps.2016.08.005. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1748681516302066
Allen RC. Controversies in periocular reconstruction for facial nerve palsy. Curr Opin Ophthalmol. 2018; 29(5): 423-427. DOI: 10.1097/ICU.0000000000000510. Available from: https://pubmed.ncbi.nlm.nih.gov/29985176/
Shannon S, Joseph MD, Andrew W, Joseph MD, Raymond S, Douglas MD, Guy G. Massry MD. Periocular Reconstruction in Patients with Facial Paralysis. Otolaryngologic Clinics of North America 2016; 49(2): 475 – 487. DOI: 10.1016/j.otc.2015.10.011. Available from: https://pubmed.ncbi.nlm.nih.gov/27040589/
Sebastian Korb, Adrienne Wood, Caroline A, Banks, MD; Dasha Agoulnik; Tessa A. Hadlock, MD; Paula M. Niedenthal, PhD. Asymmetry of Facial Mimicry and Emotion Perception in Patients With Unilateral Facial Paralysis. JAMA Facial Plast Surg. 2016; 18(3): 222-227. DOI:10.1001/jamafacial.2015.2347. Available from: https://www.liebertpub.com/doi/10.1001/jamafacial.2015.2347
Roxana Fu, Nicholas Moore, Taha Z. Shipchandler, Jonathan Y. Ting, Travis Tollefsone, Cyrus Rabbanid, Meena Moorthy, William R. Nunery, H.B.Harold Lee. A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection. American Journal of Otolaryngology 2018; 39(5): 472 – 475. DOI: 10.1016/j.amjoto.2018.05.001. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0196070918303016
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.
