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Á¦¸ñ A STUDY ON MODIFIED TEMPORALIS TRANSfER OPERATION FOR THE CORRECTION OF LAQOPHTHALMOS IN LEPROSV PATIENTS 1987
ÀúÀÚ Do Il Kim ¼Ò¼Ó Institute for Leprosy Research Korean Leprosy Control Association
³âµµ 1988 ±Ç 21
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¿ä¾à Among 58 lagophthalmos cases visited at the Institute for Leprosy Research, Korean
Leprosy Control Association, 29 cases were treated with modified temporalis transfer
operation and the other 29 cases were corrected by tarsorrhaphy operation, and the
following results were obtained.
1) As compared with the Gillies method in temporalis transfer, the modified method
which we have carried out has the advantages of a smaller incision, no visible bulge of
muscle belly over the temple, and a direct line of action. For these reasons, it is
preferred by doctors working in leprosy control organization after short course of
training.
2) In all cases which were corrected by the modified temporalis transfer operation, eye
closure action was quite satisfactory after biting exercise and there was no visible bulge
of muscle belly over the temple. It was confirmed that the majority of corrected cases
are kept their eye closed during sleep. No complications were found after surgery.
3) In all cases which were corrected by tarsorrhaphy, eye closure action was weak
and cosmetically it was unsatisfied. This tarsorrhaphy is not recommended for the
correction of lagophalmos, however, it is considered that primarily ectropion should be
corrected by tarsorrhaphy and secondarily lagophthalmos be corrected by modified
temporalis transfer for the patients with lagophthalmos accompanied with ectropion.
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