Surgical Rehabilitation of Paralytic Lagophthalmus by Platinum Chain Lid Loading: Focusing on Patient Benefit and Health-Related Quality of Life

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Abstract

Objective

To evaluate patient benefit and health-related quality of life after lid loading with platinum chains in adult patients with facial palsy.

Study Design

Retrospective data collection.

Setting

Germany’s largest university clinic for otorhinolaryngology, head and neck surgery.

Subjects and Methods

Thirty-five patients received validated questionnaires determining the effects of the operation on the patients’ health-related quality of life (Glasgow Benefit Inventory). Scores can range from −100 (maximal adverse effect), through 0 (no effect), to 100 (maximal positive effect). Furthermore, satisfaction, complaints, and complications regarding the platinum chain implant were inquired.

Results

Twenty-two patients (63 %) returned a valid questionnaire. The mean follow-up time was 31.5 months. A complete coverage of the cornea was achieved in 95% of the patients after the first operation and in the remaining patients after a revision with implantation of a heavier weight. Complete symmetry to the nonaffected eye was perceived by 64%. Recurrent conjunctivitis was complained preoperatively by 18% and postoperatively only by a single patient. In 2 patients, a mild pseudoptosis was found postoperatively, and a single patient complained about blurred vision. The median total Glasgow Benefit Inventory score was 27.8 (p < 0.001). The health-related quality of life was raised in 91% of the patients; 87% were fully satisfied with the functional result, and 91% with the aesthetical result. 100% would again decide in favor of platinum chain lid loading.

Conclusion

Platinum chain lid loading in facial palsy patients can significantly increase patients’ health-related quality of life and leads to a high rate of patient satisfaction.

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