Surgical therapy of the eyelids in patients with facial paralysis

M. Sean Freeman*, J. Regan Thomas, J. Gershon Spector, Wayne F. Larrabee, Carol A. Bowman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Patients with facial paralysis have a degree of lagophthalmos and paralytic ectropion. We present our experience in the surgical management of 25 consecutive patients treated for these problems. Paralytic lagophthalmos was corrected using gold weights inserted into the upper eyelid. The advantages and disadvantages of this surgical technique are reviewed. Medial canthoplasty and lateral can- thoplasty were performed to rectify paralytic ectropion. Ancillary procedures included browpexy, upper-lid blepha- roplasty, and temporalis sling. The results were excellent in 23 of 25 patients and good in the remaining two. After a minimum of 6 months’ follow-up, there were no complications. The authors believe that the above procedures will yield consistently excellent cosmetic and functional results in patients with paralysis of the eyelids.

Original languageEnglish (US)
Pages (from-to)1086-1096
Number of pages11
Issue number10
StatePublished - Oct 1990

ASJC Scopus subject areas

  • Otorhinolaryngology


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