Comprehensive Midfacial Elevation for Ocular Complications of Facial Nerve Palsy

Composite Septo-Retractor Recession; A Surgical Technique for Lower-Eyelid Retraction and Review of the Literature

“…In the HPMG group, however, they reported a corneal abrasion rate of 17%, which is presumably related to spacer graft. Elner et al 34 also describe a comprehensive MFL with or without HPMG and lateral canthal tightening in patients with lower-eyelid retraction or ectropion in 11 patients with facial nerve palsy. They found an overall improvement of 1.4 mm.…”

Adjunctive Transcanthotomy Lateral Suborbicularis Fat Lift and Orbitomalar Ligament Resuspension in Lower Eyelid Ectropion Repair

“…5,6,8,[12][13][14][15][16][17][18] The cases presented in this report lacked significant middle lamellar cicatricial changes. 5,6,8,[12][13][14][15][16][17][18] The cases presented in this report lacked significant middle lamellar cicatricial changes.…”

The Evaluation and Treatment of Lower Eyelid Paralysis

“…The problem encountered with all of these materials is potential shrinkage of the graft. [24][25][26][27] Hard palate mucosa is perhaps the most commonly used material, but some find the donor-site morbidity to be unacceptable. Taban et al compared thin acellular dermis (AlloDerm; Lifecell Corporation, Branchburg, NJ) to thick acellular dermis and partialthickness hard palate mucosa and found that AlloDerm provided superior results.…”

“…Some authors describe simultaneous subperiosteal midface lifting in addition to these procedures, but the efficacy of adding a midface or SOOF lift has not been demon-strated in the literature. 24,29 We routinely place a lower lid splint or Frost stitch, as described below, to support the lid in a slightly elevated position for the first 7 to 10 days of the postoperative period. This is not typically described in articles on spacer placement, but we posit that failure to provide added lid support may be a major reason for failure of these procedures.…”