Thixotropy of levator palpebrae as the cause of lagophthalmos after peripheral facial nerve palsy

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Thixotropy of levator palpebrae as the cause of lagophthalmos after peripheral facial nerve palsy.

Patients with facial nerve palsy are at risk of developing corneal ulceration because of lagophthalmos (incomplete closure of the affected eyelid). Lagophthalmos could result from thixotropy of the levator palpebrae muscle--that is, the formation of tight crossbridges between the actin and myosin filaments of the muscle fibres causing stiffness of the muscle--rather than from paralysis of the o...

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Peripheral Facial Nerve Palsy after Therapeutic Endoscopy

Peripheral facial nerve palsy (FNP) is a mononeuropathy that affects the peripheral part of the facial nerve. Primary causes of peripheral FNP remain largely unknown, but detectable causes include systemic infections (viral and others), trauma, ischemia, tumor, and extrinsic compression. Peripheral FNP in relation to extrinsic compression has rarely been described in case reports. Here, we repo...

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Lagophthalmos after facial palsy: current therapeutic options.

As the facial nerve carries sensory, motor and parasympathetic fibres involved in facial muscle innervation, facial palsy results in functional and cosmetic impairment. It can result from a wide variety of causes like infectious processes, trauma, neoplasms, autoimmune diseases, and most commonly Bell's palsy, but it can also be of iatrogenic origin. The main ophthalmic sequel is lagophthalmos....

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Surgical anatomy of the levator palpebrae insertion.

THE text-book description of the anatomy of the upper eyelid with particular reference to the septum orbitale (palpebral fascia) and especially the insertion of the levator muscle is unnecessarily vague or complicated from the surgical point of view. Thus the septum orbitale is described by some authors as arising from the orbital margin and ending where it blends with the aponeurosis of the le...

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ژورنال

عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry

سال: 2002

ISSN: 0022-3050

DOI: 10.1136/jnnp.72.5.665