Four Years' Experience With the Morel-Fatio Palpebral Spring

Morgan, Ian; Rich, Alan M.; Morgan, Leah

doi:10.1097/00006534-197404000-00004

Cited by 13 publications

(4 citation statements)

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“…4,5 The frequency with which these measures must be performed tends to foster low compliance. Other operative methods, including lateral or medial tarsorrhaphy, the use of silicone bands, 6 gold weights, 7-10 springs, 11,12 or magnets, 13 and muscle transposition, 14 have demonstrated varying degrees of success. However, none of these methods produces reflex physiologic blinking.…”

mentioning

confidence: 99%

The Use of End-to-Side Nerve Grafts to Reinnervate the Paralyzed Orbicularis Oculi Muscle

Sundine

Quan²,

Saglam³

et al. 2003

Plastic and Reconstructive Surgery

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Facial paralysis is a serious neurologic disorder, particularly when it affects the eye. Loss of the protective blink reflex may lead to corneal ulceration and, possibly, visual loss. The purpose of this study was to compare different nerve-grafting techniques to reanimate the paralyzed eyelid. Sixteen adult dogs (25 kg each) were allocated into four groups. Denervation of the left hemi-face was performed in all cases. One dog served as a control animal (group I). Group II dogs (n = 5) underwent end-to-side coaptation of the nerve graft to the intact palpebral branch and end-to-end coaptation to the denervated palpebral branch. Group III dogs (n = 5) underwent end-to-end coaptation of the nerve graft to the intact palpebral branch and end-to-end coaptation to the denervated palpebral branch. Group IV dogs (n = 5) underwent end-to-side coaptation of the nerve graft to the intact and denervated palpebral branches. The animals were monitored for 9 months after the surgical procedures, to allow adequate time for reinnervation. The dogs were postoperatively monitored with clinical observation, electrophysiologic testing, video motion analysis, and histologic assessments. Clinical observation and electrophysiologic testing demonstrated the production of an eye blink in the denervated hemi-face in all experimental groups. There was a trend toward increased speed of reinnervation for group III animals (end-to-end coaptations). It was concluded that end-to-side coaptation can produce a contralateral synchronous eye blink in a clinically relevant, large-animal model.

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confidence: 99%

The Use of End-to-Side Nerve Grafts to Reinnervate the Paralyzed Orbicularis Oculi Muscle

Sundine

Quan²,

Saglam³

et al. 2003

Plastic and Reconstructive Surgery

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“…Numerous authors [25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][41] have reported good results with palpebral spring implantation, and Levine has emphasized the role of the enhanced spring in rehabilitating patients. 31,42 Because the enhanced spring offers the possibility of restoring lid movement and closure that simulates normal lid function, patients (such as the emergency room nurse shown in Fig.…”

Section: Results Of Enhanced Palpebral Spring Implantationmentioning

confidence: 99%

Reanimation of the Paralyzed Eyelid with the Enhanced Palpebral Spring or the Gold Weight: Modern Replacements for Tarsorrhaphy

Levine

Shapiro²

2000

Facial Plast Surg

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The enhanced palpebral spring and the gold weight are the modern devices that should nearly completely replace tarsorrhaphy in the management of ocular problems secondary to facial paralysis. They actually reanimate the lid, rather than merely hold the lids closed in a disfigured position, as does tarsorrhaphy. The surgical techniques of each procedure, results, and pros and cons of each are compared. Personal experience with over 1400 spring implantations is discussed, as is experience with the use of bandage contact lenses in lieu of lid surgery. The gold weight implantation is simpler to learn and perform than the enhanced spring procedure, in which the levator is tightened in addition to implanting the spring. However, when it is really important to close the eye well, the spring is the superior procedure. Unlike the weight, the spring closes the eye well in the supine position, such as when the patient sleeps.

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“…The implanting of upper lid springs is technically challenging and is associated with high complication rates. 15 Gold weight implantation has been shown by multiple authors to be effective for the treatment of paralytic lagophthalmos and is considered by some to be the gold standard for management of the paralyzed eyelid. 1–5 A 1999 survey of North American otolaryngologists and ophthalmologists found that an upper eyelid weight was the procedure of choice for management of established paralytic lagopthalmos.…”

Section: Discussionmentioning

confidence: 99%

Early Versus Late Gold Weight Implantation for Rehabilitation of the Paralyzed Eyelid

et al. 2001

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Four Years' Experience With the Morel-Fatio Palpebral Spring

Cited by 13 publications

References 0 publications

The Use of End-to-Side Nerve Grafts to Reinnervate the Paralyzed Orbicularis Oculi Muscle

The Use of End-to-Side Nerve Grafts to Reinnervate the Paralyzed Orbicularis Oculi Muscle

Reanimation of the Paralyzed Eyelid with the Enhanced Palpebral Spring or the Gold Weight: Modern Replacements for Tarsorrhaphy

Early Versus Late Gold Weight Implantation for Rehabilitation of the Paralyzed Eyelid

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