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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Eyelid reanimation with gold weight implant and tendon sling suspension: Evaluation of excursion and velocity using the FACIAL CLIMA system
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Eyelid reanimation with gold weight implant and tendon sling suspension: Evaluation of excursion and velocity using the FACIAL CLIMA system

机译：金质植入物和肌腱悬吊带进行眼睑复活：使用FACIAL CLIMA系统评估偏移和速度

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Objective: This study aims to analyse the efficacy of static techniques, namely gold weight implant and tendon sling, in the reanimation of the paralytic eyelid. Upper eyelid rehabilitation in terms of excursion and blinking velocity is performed using the automatic motion capture system, FACIAL CLIMA. Methods: Seventy-four patients underwent a total of 101 procedures including 58 upper eyelid gold weight implants and 43 lower eyelid tendon suspension with 27 patients undergoing both procedures. The presence of lagophtalmos, eye dryness, corneal ulcer, epiphora and lower lid ptosis/ectropion was assessed preoperatively. The Wilcoxon signed-rank test was used to compare preoperative versus postoperative measurements of upper eyelid excursion and blinking velocity determined with FACIAL CLIMA. Significance was set at p <0.05. Results: FACIAL CLIMA revealed significant improvement of eyelid excursion and velocity of blinking (p < 0.001). Eye dryness improved in 49 patients (90.7%) and corneal ulcer resolved without any further treatment in 12 (85.7%) of those with a gold weight inserted. Implant extrusion was observed in 8.6% of the cases. Of the patients with lower lid tendon suspension, correction of ptosis/ectropion and epiphora was achieved in 93.9% and 91.9% of cases, respectively. In eight patients (18.6%), further surgery was needed to adjust tendon tension. Conclusions: The paralytic upper and lower eyelid can be successfully managed with gold weight implant and tendon suspension. The FACIAL CLIMA system is a reliable method to quantify upper eyelid excursion and blinking velocity and to detect the exact position of the lower eyelid.
机译：目的：本研究旨在分析静态技术（即金重植入物和肌腱吊带）在麻痹性眼睑恢复中的功效。使用自动运动捕捉系统FACIAL CLIMA进行上眼睑偏移和眨眼速度的康复。方法：74例患者共接受了101例手术，包括58例上睑金重植入物和43例下眼睑肌腱悬吊术，其中27例患者均接受了这两种手术。术前评估是否存在腹泻，眼干燥，角膜溃疡，泪溢和下睑下垂/外翻。使用Wilcoxon符号秩检验来比较用FACIAL CLIMA确定的术前和术后测量的上眼睑偏移和眨眼速度。显着性设定为p <0.05。结果：FACIAL CLIMA显示眼睑偏移和眨眼速度显着改善（p <0.001）。 49名患者（90.7％）的眼干燥得到改善，并且在没有任何进一步治疗的情况下，有12名患者（85.7％）插入了金重，角膜溃疡得以缓解。在8.6％的病例中观察到植入物挤出。下睑肌腱悬吊的患者中，上睑/外翻和外溢的矫正率分别达到93.9％和91.9％。在八名患者（18.6％）中，需要进一步的手术来调节肌腱张力。结论：金重植入和肌腱悬吊可成功治疗麻痹性上眼睑和下眼睑。 FACIAL CLIMA系统是定量上眼睑偏移和眨眼速度并检测下眼睑精确位置的可靠方法。

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