The role of gold weight implants in the management of paralytic lagophthalmos


Şahin M. M., Uzunoğlu E., Karamert R., Cebeci S., Cesur G., Yalçin M., ...More

TURKISH JOURNAL OF MEDICAL SCIENCES, vol.51, no.5, pp.2584-2591, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 51 Issue: 5
  • Publication Date: 2021
  • Doi Number: 10.3906/sag-2104-50
  • Journal Name: TURKISH JOURNAL OF MEDICAL SCIENCES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.2584-2591
  • Keywords: Gold weight implant, facial nerve paralysis, facial nerve, facial reanimation, acoustic neuroma, EYELID WEIGHTS, FACIAL PALSY, INSERTION, MORBIDITY
  • Gazi University Affiliated: Yes

Abstract

Background/aim: The study aims to evaluate the usage of gold weight implants and monitor complaints and comfort of patients. Materials and methods: A hundred and ninety-one implantations performed between January 2009 and January 2019 were analyzed. Seventy-eight patients included in this study The average age of the patients was 51.3 +/- 14.5 years. Forty-five (57.7%) of them were male and 33 (42.3%) female. Patient satisfaction was measured with a questionnaire containing the most common complaints related to gold weight in the literature through telephone surveys. Results: The average follow-up time was 74.5 months. Ninety-three-point-five percent of subjects had operational causes, among which the most widespread was acoustic neuroma (44.9%). The average time between facial paralysis and implantation was 141.1 days. Implantation was performed 26.6 days on average after acoustic neuroma surgery and 3.2 days on average after temporal zone malignancy surgery. Thirty-eight patients had their implants removed over either complication (n = 14) or recovery (n = 24). Recovery was the fastest after facial nerve decompression (mean= 4.75 +/- 3.6 (2-10) months) and the slowest after 7-12 cranial nerve transfer (mean= 18.3 +/- 8.2 (3-31) months). Twenty-six-point-nine percent (n = 21) of patients had complications, of which the most common was extrusion (n = 10). The overall satisfaction rate was 88.5% with the highest in visual acuity and the lowest in continuous requirement for artificial tear. Conclusion: The gold weight implantation is an effective, reversible, and easy procedure significantly reducing complaints regarding paralytic lagophthalmos. Early implementation may be beneficial for ocular complications. A dynamic facial reanimation could terminate need of implant.