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March 1964

Canthoplasty and Brow Elevation for Facial Palsy

Author Affiliations

San Jose, Calif
From the Department of Ophthalmology, University of California Medical Center, San Francisco.

Arch Ophthalmol. 1964;71(3):386-388. doi:10.1001/archopht.1964.00970010402017

The unfortunate patient with facial palsy is often treated with sympathy, bland ointments, moisture shields, or adhesive tape. For those patients suffering from Bell's palsy or other temporary facial palsies, this treatment may suffice. Frequently, however, the deformity is due to other causes which may be permanent. The results may be devastating to the eye because of lagophthalmos; they may result in annoying epiphora due to ectropion; and they may result in severe psychic trauma due to the cosmetic problem which exists.

It is undeniable that nerve crossing or nerve grafting, in suitable cases, will give the best functional results. Satisfactory results from these operations may vary from 50% to 80% if the peripheral branching of the seventh nerve has not been too badly damaged.

Facial suspension, using non-absorbable sutures or fascia lata, has not proven very successful. Muscle transplantation has not been as effective as the patient or the