|
|
|
|
|
|
|
|
|
|
제목 |
Management of the paralyzed ectropion by i mplanting conchal cartilage |
|
|
|
|
|
저자 |
Sung Yul Ahn, M. D., Hyang Joon Park, M.D.#, Jong Pill Kim, M.D.,Sang Joon Lee M.D.## |
소속 |
Ahn's plastic & esthetic Clinic. Seoul, Korea, Dept of Dermatology, DankookUniversity Hospital, Cheonan, Korea #, Korean Leprosy Control Association ## |
|
|
|
년도 |
1999 |
권 |
32 |
|
|
|
호 |
2 |
번호 |
|
|
|
|
시작페이지 |
15 |
끝페이지 |
24 |
|
|
|
첨부 |
|
|
|
|
요약 |
Paralytic lagophthalmos and ectropion by leprosy are
serious complications of facial paralysis, which
may lead to exposure keratitis, corneal u1ceration, ad further lead to blindness.
In 1995 ad 1997, we reported in this journal on
the surgical treatment of 38 patients and 98 patients
suffcrit. with paralytic lagophthalmos and ectropion.
In the first report of 1995, for lid closing I(Ahn)
performed the method of traditional surgery
such as temporal muscle transfer, medial and lateral
canthoNasty as well as gold implantation.
In the 2nd report of 1997, we(Ahn Md Park)
presented the results of our combination treatment that
change the design and weight of the gold plate
inserted in the upper lid, ad the medial canthoplasty and
the horizontal shortening in lower lid.
Combination treatment provided for near
normal eye closure ad aesthetically pleasing appearance
without the drawbacks associated with
other methods such as eye clinching in concert with mouth
closure, donor site deformities resulting
from temporalis muscle transfer, and over exposure of caruncle
due to stretching effects of lateral canthoplasty.
We have now found that raising the level of
the lower lid margin to the sclera is important in
concealing the scleral show due to drooping of the lower lid.
We grafted conchal cannagc in a 5 x 35mm size band,
which was fixed at the medial ad lateral canthal
area in 57 patients during the recent 3 years.
We also added the ancillary procedure of the
horizontal moments in cases of highly atonic lower lid.
We have noted mat gold implantation in the uppper eyelid
and cartilage graft in the lower eyelid, with
optional horizontal shortening, successfully
corrected the 1agophtalomos and ectropion due to facial
nerve palsy.
|
|
|
|
내용 |
|
 | |
| |
|
|
|
|
|
|
|
|
|
