Eyelid Reanimation in Facial Paralysis

Yavuz TULUYa, Levent YOLERİb
aTurgutlu State Hospital, Clinic of Plastic, Reconstructive and Aesthetic Surgery, Manisa, Türkiye
bManisa Celal Bayar University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Manisa, Türkiye

Tuluy Y, Yoleri L. Eyelid reanimation in facial paralysis. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.200-4.

Article Language: EN

ABSTRACT
Inability of eyelids movements, epiphora and lower lid sagging are the major problems in paralytic eyelids. There are many techniques described in the literature including static and dynamic procedures. Gold weight is one of the most popular static procedure. Eyelid closure can be gained by applying muscle transfers. Modified temporalis muscle transfer can be used for this purpose. A muscle mass from the anterior third of the muscle with overlying fascia is dissected. Twice as much muscle to the upper eyelid than the lower eyelid is taken and passed muscularly 5 to 6 mm away from the limbus for upper eyelid and a thinner muscle mass is passed subcutaneously beneath the lower cilia for lower eyelid. These strips is stitched to the medial canthus and 3-to 4 mm above it. Although there is no consensus on which technique is better, modified temporalis muscle is easy to apply compared with the microsurgical techniques.

Keywords: Facial paralysis; eyelid reanimation; temporalis muscle

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