Functional and aesthetic outcomes of eyelid skin grafting in facial nerve palsy

Abstract

The use of periocular FTSG is effective in improving lagophthalmos and periorbital symmetry in patients with FNP where skin contraction exists. They should be considered as an adjunct to other oculoplastic procedures for both functional and aesthetic rehabilitation.

Validated Outcome Measures and Postsurgical Scar Assessment Instruments in Eyelid Surgery: A Systematic Review

“…In total, there were 6 referenced papers that provided additional evidence support for outcome measures. These combined 24 total papers 4,5,7–27 were used for analysis.…”

Facial Nerve Palsy and the Eye: Etiology, Diagnosis, and Management

“…While extensive lubrication is undoubtedly the mainstay of therapy in patients with acute paralysis, 10 the role of eyelid taping or patching at night is controversial and may inflict more harm than good 10 . However, if lubricants are inadequate in protecting the cornea while the improvement of facial nerve function is anticipated, mechanical protective ptosis can be achieved by paralyzing the levator muscle with botulinum toxin injections 10,28,51,52 …”

“…41 In such cases where eyelid closure is insufficient following eyelid loading, an upper eyelid full-thickness skin graft could improve lagophthalmos if skin contraction is demonstrated. 51 Autologous fat grafting has been used successfully to improve the quality of the skin and replenish the atrophied fat and may even reduce lagophthalmos. 38 Reconstruction of the lower eyelid is the second crucial step in reanimation of the periocular region in patients with persistent FNP.…”

Direct Brow Lift and Skin Contraction in Facial Nerve Palsy: A Switch Technique

“…The skin grafting technique used in the authors' unit has previously been described. 6 A subciliary skin incision, stepped to preserve pretarsal orbicularis, was followed by incision of preseptal orbicularis and release of the orbital septum canthus to canthus.…”

“…), using a published grading scale specific to eyelid skin grafts based on the validated Manchester scar scale. 6,7 Statistical analysis was conducted using Prism 8 software (Graphpad Software, San Diego, CA, U.S.A.).…”