| Abstract [eng] |
Facial palsy causes functional and psychosocial issues. Ocular surface becomes vulnerable to dryness and irritation as a result of changes caused by facial palsy: incomplete eyelid closure (lagophthalmos), outward lower eyelid margin turning (ectropion), eyebrow descent (ptosis). The various etiologies of facial paralysis have similar clinical manifestations, however their treatment and prognosis of facial nerve function recovery differs. A clinical case is presented: a 68-year-old woman with an incomplete closure of the eyelids caused by facial palsy was admitted to the Departement of Plastic and Reconstructive Surgery of Vilnius University Hospital Santara Clinics. Considering the iatrogenic etiology of facial nerve damage, a surgical upper eyelid reanimation was performed with gold weight implant. Conclusions: The main objectives, when treating a patient with facial palsy, are determining the etiology, risk stratification and comprehensive prognosis assessment. With a low probability of facial nerve function recovery, gold weight implantation provides complete eyelid closure and appropriate aesthetic results. |
