Eyelid lifting for ectropion and scleral show in facial palsy disease

To reduce eye disease, a simple surgical technique for the treatment of ectropion and scleral show was performed in patients affected by monolateral facial palsy.

Fifteen patients affected by facial palsy, degrees IV-VI according to the House-Brackmann grading scale, were evaluated with our surgical procedure, and the results were compared with several other procedures.

We used an eye protection technique. Based on this, the dissection of the orbicular muscle was the more important procedure. It was possible to correct the ectropion and the lateral scleral show with only medial or lateral muscle flap sutures. A detailed description of the surgical procedures with a photographic history and instructions is given.

Noninvasive surgery yielded good clinical results in 100% of the cases without any risk or subsequent reoccurrence.