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مقاله
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Abstract
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Title:
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Late outcomes of gold weight and platinum chain for upper eyelid loading
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Author(s):
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We Fong Siah, Sonali Nagendran, Petrina Tan, Mustafa A. A. Syed, Andre S. Litwin, Raman Malhotra.
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Raman Malhotra
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Affiliation :(optional)
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Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex, United Kingdom
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E mail:
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raman@ramanmalhotra.com
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Phone:
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Mobile:
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09121777003
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Purpose:
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to evaluate long-term outcomes (>1 year) of Gold weights and Platinum chains in the management of lagophthalmos.
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Methods:
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Retrospective series of patients who had GW or PC (2004-2013) at a single center. Two independent, blinded assessors graded photos for prominence, contour, migration, extrusion and erythema.
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Results:
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A total of 156 eyelids (GW=129) of 134 patients (facial nerve palsy, n=93; non-paralytic, n=41) were analyzed. Overall, 41% of eyelids with GW had further surgery (exchange for PC, GW repositioning, GW removal) for reason(s) such as migration, gold allergy, prominence, extrusion and/or lagophthalmos compared to only 10% of eyelids with PC. Incidence of gold allergy was 7%. At final follow-up, eyelids with GW with no further surgery (median = 37.5 months, range 12-110) showed more prominence (pretarsal-17%, high-tarsal-26%) compared to eyelids with PC (pretarsal-7%, high-tarsal-16%) (median = 33.5 months, range 15-106).
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Conclusion:
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PCs are superior to GWs in the management of lagophthalmos. PCs’ complication and revision rates are relatively low in comparison to GWs. Despite a better profile and a high-tarsal weight placement, PCs still showed prominence with time. Co-existing thin skin/orbicularis in patients with facial nerve palsy may be a contributory factor to this complication.
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Attachment:
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