Alternative Surgical Treatment of Paralytic Lagophthalmos Using Autogenic Cartilage Grafts and Canthopexy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFRIEDHOFER, Henri
dc.contributor.authorCOLTRO, Pedro Soler
dc.contributor.authorVASSILIADIS, Aneta Hionia
dc.contributor.authorNIGRO, Marcelus Vinicius
dc.contributor.authorSAITO, Fabio Lopes
dc.contributor.authorMOURA, Tatiana
dc.contributor.authorFARIA, Jose Carlos
dc.contributor.authorFERREIRA, Marcus Castro
dc.date.accessioned2014-04-25T21:49:49Z
dc.date.available2014-04-25T21:49:49Z
dc.date.issued2013
dc.description.abstractPurpose: This study aims to analyze the use of autogenic auricular cartilage grafts as weight for the upper eyelid in conjunction with lateral canthopexy for patients with mild paralytic lagophthalmos. This procedure was also accompanied by elevation of the lower eyelid using the cartilage graft for moderate cases. Methods: We conducted a retrospective study including case series of 30 patients with paralytic lagophthalmos from 1997 to 2010. For mild cases, cartilage from the auricular scapha was placed in pretarsal space of the upper eyelid and cartilage from the concha was inserted in preaponeurotic space and then sutured to the levator aponeurosis in conjunction with lateral canthopexy. For moderate cases, lower eyelid was also elevated by suturing cartilage graft to tarsum and resting it by the inferior orbital rim. Results: All patients had some degree of keratopathy before the intervention. After treatment, they presented with evident clinical improvement, reduction of eye symptoms, and resolution of keratopathy. During the mean postoperative follow-up of 37.3 months, none of the patients presented with cartilage graft exposition, reabsorption, visibility, infection, or warping. Complete eye closure was achieved in 24 (80%) patients, whereas the remaining 6 (20%) patients had residual asymptomatic lagophthalmos. Conclusions: The intervention using autogenic auricular cartilage grafts explained in this study was only effective for the treatment of mild and moderate cases of paralytic lagophthalmos. This outpatient surgery is associated with low morbidity and achievement of functional and aesthetic improvement.
dc.description.indexMEDLINE
dc.identifier.citationANNALS OF PLASTIC SURGERY, v.71, n.2, p.135-139, 2013
dc.identifier.doi10.1097/SAP.0b013e318248b87c
dc.identifier.eissn1536-3708
dc.identifier.issn0148-7043
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/5045
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofAnnals of Plastic Surgery
dc.rightsrestrictedAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subjectsurgical treatment
dc.subjectlagophthalmos
dc.subjectcartilage graft
dc.subjectcanthopexy
dc.subject.othergold weight implants
dc.subject.otherfacial palsy
dc.subject.otherauricular cartilage
dc.subject.otherconchal cartilage
dc.subject.othermanagement
dc.subject.otherreanimation
dc.subject.othereye
dc.subject.wosSurgery
dc.titleAlternative Surgical Treatment of Paralytic Lagophthalmos Using Autogenic Cartilage Grafts and Canthopexy
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalVASSILIADIS, Aneta Hionia:Univ Sao Paulo, Fac Med, Div Plast Surg, Sao Paulo, Brazil
hcfmusp.author.externalSAITO, Fabio Lopes:Univ Sao Paulo, Fac Med, Div Plast Surg, Sao Paulo, Brazil
hcfmusp.author.externalMOURA, Tatiana:Univ Sao Paulo, Fac Med, Div Plast Surg, Sao Paulo, Brazil
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcHENRI FRIEDHOFER
hcfmusp.contributor.author-fmusphcPEDRO SOLER COLTRO
hcfmusp.contributor.author-fmusphcMARCELUS VINICIUS DE ARAUJO SANTOS NIGRO
hcfmusp.contributor.author-fmusphcJOSE CARLOS MARQUES DE FARIA
hcfmusp.contributor.author-fmusphcMARCUS CASTRO FERREIRA
hcfmusp.description.beginpage135
hcfmusp.description.endpage139
hcfmusp.description.issue2
hcfmusp.description.volume71
hcfmusp.origemWOS
hcfmusp.origem.pubmed23728241
hcfmusp.origem.scopus2-s2.0-84880571986
hcfmusp.origem.wosWOS:000330449400005
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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hcfmusp.scopus.lastupdate2024-05-10
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