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Mark May, MD; Dieter F. Hoffmann, MD; George F. Buerger, Jr, MD; David B. Soll, MD

Arch Otolaryngol Head Neck Surg. 1990;116(7):786-788.

Abstract
• The success of a procedure to reanimate paralyzed eyelids is determined by the functional and cosmetic results. When the cornea is covered during blinking and sleeping, function has been restored, while a pleasing cosmetic result has been achieved if the eyes appear symmetrical when the lids are open. Several procedures have been developed to restore closure of the paralyzed upper eyelid (implantation of gold weights or open wire springs) or to correct lower lid lagophthalmos and ectropion (lower lid tightening with a Bick procedure or insertion of a closed eyelid spring). In some cases, even a combination of the Bick procedure and insertion of a spring may be insufficient to correct lower lid droop; therefore, we developed a technique to place cartilage into the lower eyelid to correct lid droop. The procedure, suggested by one of us (D.B.S.), has been performed on 51 patients to date. This article reviews our experience with these 51 consecutive patients.

(Arch Otolaryngol Head Neck Surg. 1990;116:786-788)

Author Affiliations
From the Facial Paralysis Center, Shadyside Hospital, Pittsburgh, Pa (Drs May and Hoffmann); Departments of Otolaryngology-Head and Neck Surgery (Dr May) and Ophthalmology (Dr Buerger), University of Pittsburgh (Pa) School of Medicine; and the University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School at Camden (Dr Soll).

Footnotes
Accepted for publication December 1, 1989.

Presented at the annual fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, New Orleans, La, September 23, 1989.

Reprint requests to 510 S Aiken Ave, Pittsburgh, PA 15232 (Dr May).

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