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PubMed · 1430569

Lateral canthoplasty.

T C Naugle
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Abstract

BACKGROUND. Lateral canthoplasty is one of the most valuable procedures in ophthalmic plastic surgery and has a variety of indications. These include the repair of ectropion, paralytic lagophthalmos, and eyelid retraction. The procedure can also be used in the prevention of some of the above entities, in the delivery of orbital tumors, and is a valuable adjunct in lower blepharoplasty. The tarsal strip procedure is probably the most popular technique of horizontal shortening of the eyelid. OBJECTIVE. Indications for this procedure are reviewed. The technique as I perform it is described in detail.

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Eyelid DiseasesHumansSurgery, PlasticJournal Article

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T C Naugle. 1992. Lateral canthoplasty.. https://doi.org/10.1111/j.1524-4725.1992.tb02786.x

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[Results after lidloading with rigid gold weights--a meta-analysis].

INTRODUCTION: For the surgical therapy of lagophthalmos rigid gold implants were used. There are a lot of studies using rigid gold implants with widely different complications. In the primary study the small amount of patients is often a problem. The aim of our study was to survey the postoperative results and complications after insertion of rigid gold implants and to statistically compare the results with a meta-analysis. MATERIAL AND METHODS: 38 publications on 1000 rigid gold implants were analyzed in the context of a meta-analysis of the postoperative results. RESULTS: Complete lid closure can be obtained in 84.5 % with the rigid gold implants. The postoperative complication rates were 13.4 % for bulging, 6.4 % for migration, 6.8 % for extrusion, 11.5 % for corneal astigmatism and 7.0 % postoperative infections. DISCUSSION: Lidloading is a very simple and reversible procedure for the surgical treatment of lagophthalmos. The statistical analysis in using rigid gold implants showed a significant rate of postoperative complications. To increase the effectivity of the treatment method these results should be taken into account for alternative implants.

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