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- W4365459968 abstract "Background: Paralytic ectropion increases risk for corneal injury in facial palsy patients. While a lateral tarsal strip (LTS) provides corneal coverage through supero-lateral lower eyelid pull, the unopposed lateral force may result in lateral displacement of the lower eyelid punctum and overall worsening asymmetry. A tensor fascia lata (TFL) lower eyelid sling may overcome some of these limitations. This study quantitatively compares scleral show, punctum deviation, lower marginal reflex distance (MRD), and peri-orbital symmetry between the two techniques. Methods: Retrospective review was performed on facial paralysis patients who underwent a LTS or TFL sling with no prior lower lid suspension procedures. Standardized pre- and post-operative images in primary gaze position were used to measure scleral show and lower punctum deviation using ImageJ, and lower MRD using Emotrics. Results: Of 449 facial paralysis patients, 79 met inclusion criteria. Fifty-seven underwent a LTS and twenty-two a TFL sling. Compared to pre-operatively, lower medial scleral show significantly improved with both LTS (10.9 mm2, p<0.01) and TFL (14.7 mm2, p<0.01). The LTS group showed significant worsening of horizontal and vertical lower punctum deviation when compared to the TFL group (both p<0.01). While the LTS group failed to achieve periorbital symmetry between the healthy and paralytic eye across all parameters measured post-operatively (p<0.01); the TFL group achieved symmetry in medial scleral show, lateral scleral show, and lower punctum deviation. Conclusions: In patients with paralytic ectropion, TFL sling provides similar outcomes to LTS with added advantages of symmetry without lateralization or caudalization the lower medial punctum." @default.
- W4365459968 created "2023-04-15" @default.
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- W4365459968 date "2023-04-13" @default.
- W4365459968 modified "2023-09-27" @default.
- W4365459968 title "Lateral Tarsal Strip versus Tensor Fascia Lata Sling for Paralytic Ectropion - Comparison and Long-Term Outcomes" @default.
- W4365459968 doi "https://doi.org/10.1097/prs.0000000000010533" @default.
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- W4365459968 hasPublicationYear "2023" @default.
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