Background: Leprosy is the most common cause of facial paralysis in India. Lagophthalmos is its most common manifestation. The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity. Patients and Methods: 20 patients of leprosy who presented with lagophthalmos were included in the study. All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Change in appearance of the eye and function of the eyelids was assessed post operatively.
Results: All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Temporalis Muscle transfer for bilateral cases were done in the same sitting. Anderson’s modification of Gillies procedure was done in 13 cases and Johnson’s operation was done in 7 cases. Mean lid gap reduced to 9.09 mm in straight gaze, 1.59 mm in gentle closure and 0.5 mm in tight closure. Conclusion: The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity.
Background: Leprosy is the most common cause of facial paralysis in India. Lagophthalmos is its most common manifestation. The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity. Patients and Methods: 20 patients of leprosy who presented with lagophthalmos were included in the study. All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Change in appearance of the eye and function of the eyelids was assessed post operatively.
Results: All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Temporalis Muscle transfer for bilateral cases were done in the same sitting. Anderson’s modification of Gillies procedure was done in 13 cases and Johnson’s operation was done in 7 cases. Mean lid gap reduced to 9.09 mm in straight gaze, 1.59 mm in gentle closure and 0.5 mm in tight closure. Conclusion: The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity.