Temporalis fascia in the management of gold eyelid weight extrusion

Dilip Abraham Thomas, Yousuf M. Khalifa

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

A patient with a traumatic facial nerve palsy and resulting paralytic lagophthalmos underwent surgical implantation of a gold weight load, which extruded 4 weeks after surgery. Cicatricial contraction of the anterior lamella developed, and a full-thickness skin graft was used to correct the cicatrix. A second gold weight loading procedure was then undertaken with a temporalis fascia drape added to reduce the risk of extrusion. One year after surgery, there is no sign of migration or extrusion. Gold weight loading has emerged as the standard in management of paralytic lagophthalmos, with extrusion cited as the most serious complication. We propose temporalis fascia draping as an adjuvant procedure in the reimplantation of an extruded gold weight.

Original languageEnglish (US)
Pages (from-to)153-155
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume21
Issue number2
DOIs
StatePublished - Mar 1 2005

    Fingerprint

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this