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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Oh, Tae Suk (Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine) Min, Kyunghyun (Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine) Song, Sin Young (Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine) Choi, Jong Woo (Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine) Koh, Kyung Suk (Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제3호
발행연도
2018.1
수록면
222 - 228 (7page)

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Background The most common surgical treatment for paralytic lagophthalmos is the placement of a weight implant in the upper eyelid; however, this technique confers the risks of implant visibility, implant extrusion, and entropion. In this study, we present a new technique of placing platinum weight implants between the levator aponeurosis and inner septum to decrease such complications. Methods A total of 37 patients with paralytic lagophthalmos were treated between March 2014 and January 2017 with platinum weight placement (mean follow-up, 520.1 days). After dissecting through the orbicularis oculi muscle, the tarsal plate and levator aponeurosis were exposed. The platinum weights (1.0-1.4 g) were fixed to the upper margin of the tarsal plate and placed underneath the orbital septum. Results Five patients could partially close their eye after surgery. The average distance between the upper eyelid and the lower eyelid when the eyes were closed was 1.12 mm. The rest of the patients were able to close their eye completely. Three patients patient developed allergic conjunctivitis after platinum weight insertion, which was managed with medication. None of the patients complained of discomfort in the upper eyelid after surgery. Visibility or extrusion of the implant were observed in three patients. Conclusions Postseptal weight placement is a safe and reproducible method in both primary and secondary upper eyelid surgery for patients with paralytic lagophthalmos. It is a feasible method for preventing implant visibility, implant exposure, and entropion. Moreover, platinum is a better implant material than gold because of its smaller size and greater thinness.
#Platinum #Prostheses and implants #Eyelid diseases #Facial paralysis

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참고문헌 (13)

참고문헌 신청
Rozen S / 2013 / Upper eyelid postseptal weight placement for treatment of paralytic lagophthalmos / Plast Reconstr Surg 131:1253~1265 Crossref Choi HY / 1999 / Long-term comparison of a newly designed gold implant with the conventional implant in facial nerve paralysis / Plast Reconstr Surg 104:1624~1634 Crossref Silver AL / 2009 / Thin-profile platinum eyelid weighting: a superior option in the paralyzed eye / Plast Reconstr Surg 123:1697~1703 Crossref Baheerathan N / 2009 / Gold weight implants in the management of paralytic lagophthalmos / Int J Oral Maxillofac Surg 38:632~636 Crossref Tan ST / 2013 / Gold weight implantation and lateral tarsorrhaphy for upper eyelid paralysis / J Craniomaxillofac Surg 41:49~53 Crossref

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