[Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results)].

Szczegóły
Abstrakt

Tytuł:: [Gold weight implants for lagophthalmos correction in chronic facial nerve paralysis (late results)].
Autorzy:: Grusha YO; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow State Medical University, Ophthalmology Department, 2 str. 4 Bol'shaya Pirogovskaya St., Moscow, Russian Federation, 119991.
Fedorov AA; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
Iskusnykh NS; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
Bogacheva NV; Lomonosov Moscow State University, Faculty of Psychology, 1 Leninskie Gory, Moscow, Russian Federation, 119991.
Kobzova MV; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow State Medical University, Ophthalmology Department, 2 str. 4 Bol'shaya Pirogovskaya St., Moscow, Russian Federation, 119991.
Novikov IA; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
Fettser EI; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
Shchegoleva TA; Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, Russian Federation, 119021.
Źródło:: Vestnik oftalmologii [Vestn Oftalmol] 2016 Mar-Apr; Vol. 132 (2), pp. 26-32.
Typ publikacji:: English Abstract; Journal Article
Język:: Russian
Imprint Name(s):: Publication: Moskva : Media Sfera
Original Publication: Moskva. Meditsina.
MeSH Terms:: Blepharoplasty*/instrumentation
Blepharoplasty*/methods
Blepharoptosis*/etiology
Blepharoptosis*/surgery
Corneal Diseases*/epidemiology
Corneal Diseases*/etiology
Prosthesis Implantation*/instrumentation
Prosthesis Implantation*/methods
Facial Paralysis/*complications
Gold/*therapeutic use
Postoperative Complications/*epidemiology
Eyelids/surgery ; Female ; Humans ; Male ; Middle Aged ; Prosthesis Design ; Russia ; Treatment Outcome
Contributed Indexing:: Local Abstract: [Publisher, Russian] Стандартом лечения паралитического лагофтальма (ПЛ) во всем мире считается постановка в верхнее веко утяжеляющего золотого имплантата. Цель работы - оценить отдаленные результаты коррекции ПЛ утяжеляющим имплантатом. Материал и методы. У 70 пациентов с лагофтальмом при хроническом лицевом параличе в верхнее веко был установлен многочастный имплантат из золота. Комплексное обследование проводили до операции и на сроках: 1, 3, 6, 12, 24, 36 мес после нее. Результаты. Получены данные о высокой эффективности данной методики, отсутствии тяжелых осложнений, низкой частоте удаления имплантата. Часть биометрических показателей достоверно уменьшились после операции, экскурсия верхнего века увеличилась. Имплантат не оказывал влияния на заднюю поверхность роговицы и ее толщину на периферии. Заключение. Показана высокая эффективность коррекции ПЛ предложенным имплантатом, представлен анализ осложнений в отдаленный период.
Substance Nomenclature:: 7440-57-5 (Gold)
Entry Date(s):: Date Created: 20160524 Date Completed: 20160802 Latest Revision: 20181023
Update Code:: 20240104
DOI:: 10.17116/oftalma2016132226-32
PMID:: 27213794
: Czasopismo naukowe

Unlabelled: Upper eyelid weigh gold implant is the widely accepted standard for the treatment of paralytic lagophthalmos (PL).
Aim: To evaluate late outcomes of PL correction with chain gold implants.
Material and Methods: Chain gold implants were inserted in the upper eyelids of 70 patients with lagophthalmos due to chronic facial paralysis. A comprehensive ophthalmic examination was performed prior to surgery and then at months 1, 3, 6, 12, 24, and 36.
Results: The results obtained prove the method highly effective. None of the patients developed any severe complications. Cases of implant removal were few. Some of the studied biometric parameters decreased significantly after surgery, while the upper eyelid excursion increased. The implant had no effect on the inner surface of the cornea and its peripheral thickness.
Conclusion: Efficacy of the proposed eyelid implant has been convincingly demonstrated; late complications have been analyzed.

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