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Facial Plast Surg
DOI: 10.1055/a-2448-0424
Original Article

The Surgical Management of the Eye in Facial Palsy

Mohsan Malik 
1   Department of Adnexal Surgery, Adnexal Service, Moorfields Eye Hospital, London, United Kingdom
,
Geoff Wilcsek
2   Department of Ophthalmology, Macquarie University Hospital, Macquarie University, New South Wales, Australia
3   Department of Ophthalmology, Prince of Wales Hospital, Randwick, New South Wales, Australia
,
Eamon Shamil 
4   Department of ENT and Facial Plastic Surgery, The Royal National ENT & Eastman Dental Hospital, University College London NHS Foundation Trust, London, United Kingdom
5   Department of ENT and Facial Plastic Surgery, Prince of Wales Hospital, Randwick, New South Wales, Australia
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Abstract

The surgical management of the periocular region in facial palsy is a critical aspect of addressing the ocular morbidity associated with facial paralysis. The reconstruction around the eye in facial palsy should take into account the duration of the facial palsy and underlying ocular pathologies. Exposure keratopathy can develop secondary to lagophthalmos, ectropion, and brow ptosis. Clinicians should optimize the function of the eye with medical treatments in the first instance and where required adjunctive static or dynamic surgical therapy. The cosmesis of the periocular region should also be taken into consideration when surgical reconstruction is being planned. This manuscript aims to provide a review of surgical solutions for patients with chronic eye manifestations of facial palsy.

Keywords

facial palsy - rehabilitation - eyelid weight - corneal neurotization


Publication History

Article published online:
24 December 2024

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