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제목 |
Surgical treatment of lagophthalmos and ectropion in leprosy |
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저자 |
Sung Yul Ahn, and Hyang Joon Park# |
소속 |
Ahn's plastic & esthetic surgery clinic, Seoul, Korea, and Dept. of Dermatology, Dankook University Hospital#, Cheonan, Korea |
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년도 |
1997 |
권 |
30 |
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호 |
2 |
번호 |
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시작페이지 |
69 |
끝페이지 |
82 |
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첨부 |
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요약 |
Paralytic lagophthalmos and ectropion by leprosy are serious complications of facial
paralysis, which may lead to exposure keratitis and corneal ulceration, which could
further lead to blindness.
In December 1995, Ⅰ (Ahn) reported in this journal on the treatment of 38 patients
suffering with lagophthalmos and ectropion due to facial palsy. The treatment methods
used with these patients were varied as there was no concensus at that time on which
was the most effective. However, after further study and application of these various
methods or an additional 60 patients since my December 1995 report, we have now
found that combination treatment using at least two of the previously sigularly employed
methods improved lid loading with gold plate to the upper eyelid and medial
canthoplasty to the lower eyelid will provide very effective results.
The improvements made to lid loading with gold plate include four holes for better
fixation, reducing the weight of gold to one gram, and redesigning the shape to be
crescent curved and oval surfaced to conform to the shapes of both the eyeball and
eyelid. Combination treatment provides for near normal eye closure and an aesthetically
pleasing appearance without the drawbacks associated with other methods such as eye
clinching in concert with mouth closure and donor site deformities resulting from
temporalis muscle transfer and the overexposure of caruncle due to the lateral stretching
effects of lateral canthoplasty. |
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내용 |
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