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The role of gold weight implants in the management of paralytic lagophthalmos
BACKGROUND/AIM: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. MATERIALS AND METHODS: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Scientific and Technological Research Council of Turkey
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742471/ https://www.ncbi.nlm.nih.gov/pubmed/34174800 http://dx.doi.org/10.3906/sag-2104-50 |
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author | ŞAHİN, Muammer Melih UZUNOĞLU, Eray KARAMERT, Recep CEBECİ, Süleyman CESUR, Gökçen YALÇIN, Mücahit DÜZLÜ, Mehmet TUTAR, Hakan UĞUR, Mehmet Birol CEYLAN, Alper |
author_facet | ŞAHİN, Muammer Melih UZUNOĞLU, Eray KARAMERT, Recep CEBECİ, Süleyman CESUR, Gökçen YALÇIN, Mücahit DÜZLÜ, Mehmet TUTAR, Hakan UĞUR, Mehmet Birol CEYLAN, Alper |
author_sort | ŞAHİN, Muammer Melih |
collection | PubMed |
description | BACKGROUND/AIM: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. MATERIALS AND METHODS: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The average age of the patients was 51.3 ± 14.5 years. Forty-five (57.7%) of them were male and 33 (42.3%) female. Patient satisfaction was measured with a questionnaire containing the most common complaints related to gold weight in the literature through telephone surveys. RESULTS: The average follow-up time was 74.5 months. Ninety-three-point-five percent of subjects had operational causes, among which the most widespread was acoustic neuroma (44.9%). The average time between facial paralysis and implantation was 141.1 days. Implantation was performed 26.6 days on average after acoustic neuroma surgery and 3.2 days on average after temporal zone malignancy surgery. Thirty-eight patients had their implants removed over either complication (n = 14) or recovery (n = 24). Recovery was the fastest after facial nerve decompression (mean= 4.75 ± 3.6 (2–10) months) and the slowest after 7–12 cranial nerve transfer (mean= 18.3 ± 8.2 (3–31) months). Twenty-six-point-nine percent (n = 21) of patients had complications, of which the most common was extrusion (n = 10). The overall satisfaction rate was 88.5% with the highest in visual acuity and the lowest in continuous requirement for artificial tear. CONCLUSION: The gold weight implantation is an effective, reversible, and easy procedure significantly reducing complaints regarding paralytic lagophthalmos. Early implementation may be beneficial for ocular complications. A dynamic facial reanimation could terminate need of implant. |
format | Online Article Text |
id | pubmed-8742471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Scientific and Technological Research Council of Turkey |
record_format | MEDLINE/PubMed |
spelling | pubmed-87424712022-01-20 The role of gold weight implants in the management of paralytic lagophthalmos ŞAHİN, Muammer Melih UZUNOĞLU, Eray KARAMERT, Recep CEBECİ, Süleyman CESUR, Gökçen YALÇIN, Mücahit DÜZLÜ, Mehmet TUTAR, Hakan UĞUR, Mehmet Birol CEYLAN, Alper Turk J Med Sci Article BACKGROUND/AIM: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. MATERIALS AND METHODS: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The average age of the patients was 51.3 ± 14.5 years. Forty-five (57.7%) of them were male and 33 (42.3%) female. Patient satisfaction was measured with a questionnaire containing the most common complaints related to gold weight in the literature through telephone surveys. RESULTS: The average follow-up time was 74.5 months. Ninety-three-point-five percent of subjects had operational causes, among which the most widespread was acoustic neuroma (44.9%). The average time between facial paralysis and implantation was 141.1 days. Implantation was performed 26.6 days on average after acoustic neuroma surgery and 3.2 days on average after temporal zone malignancy surgery. Thirty-eight patients had their implants removed over either complication (n = 14) or recovery (n = 24). Recovery was the fastest after facial nerve decompression (mean= 4.75 ± 3.6 (2–10) months) and the slowest after 7–12 cranial nerve transfer (mean= 18.3 ± 8.2 (3–31) months). Twenty-six-point-nine percent (n = 21) of patients had complications, of which the most common was extrusion (n = 10). The overall satisfaction rate was 88.5% with the highest in visual acuity and the lowest in continuous requirement for artificial tear. CONCLUSION: The gold weight implantation is an effective, reversible, and easy procedure significantly reducing complaints regarding paralytic lagophthalmos. Early implementation may be beneficial for ocular complications. A dynamic facial reanimation could terminate need of implant. The Scientific and Technological Research Council of Turkey 2021-10-21 /pmc/articles/PMC8742471/ /pubmed/34174800 http://dx.doi.org/10.3906/sag-2104-50 Text en Copyright © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Article ŞAHİN, Muammer Melih UZUNOĞLU, Eray KARAMERT, Recep CEBECİ, Süleyman CESUR, Gökçen YALÇIN, Mücahit DÜZLÜ, Mehmet TUTAR, Hakan UĞUR, Mehmet Birol CEYLAN, Alper The role of gold weight implants in the management of paralytic lagophthalmos |
title | The role of gold weight implants in the management of paralytic lagophthalmos |
title_full | The role of gold weight implants in the management of paralytic lagophthalmos |
title_fullStr | The role of gold weight implants in the management of paralytic lagophthalmos |
title_full_unstemmed | The role of gold weight implants in the management of paralytic lagophthalmos |
title_short | The role of gold weight implants in the management of paralytic lagophthalmos |
title_sort | role of gold weight implants in the management of paralytic lagophthalmos |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742471/ https://www.ncbi.nlm.nih.gov/pubmed/34174800 http://dx.doi.org/10.3906/sag-2104-50 |
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