ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
Volume : 27 Issue : 3 Year : 2019
Blepharoptosis Following Surgery for Facial Paralysis [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2015; 23(2): 63-66

Blepharoptosis Following Surgery for Facial Paralysis

Mehmet O. Yenidünya
Department of Plastic Reconstructive and Esthetic Surgery, School of Medicine, Uludağ University, Gorukle-Bursa-Turkey.

Although various well-known forms of blepharoptosis have been reported, there is no report arguing blepharoptosis following the surgery for facial paralysis. A 40-year-old woman with unilateral facial paralysis secondary to mastoidectomy 20 years ago was admitted with her left upper eyelid ptosis. It was found that a free muscle grafting with tendon had been done to treat the complication. A Z-plasty was done to elongate the short tendon by 7 mm under general anesthesia. For reconstructing the mouth corner, a
superiorly based sternocleidomastoid muscle flap was transferred after 3 months of the Z-plasty on tendon. The ptosis disappeared soon after Z-plasty surgery on the tendon. The patient learned how to use the newly transferred muscle for the mouth corner movements in 3 months. The problem associated with the presented case is rare, which included facial paralysis followed by blepharoptosis. This is a paradoxical situation. In other words, first, there is a possiblity of having blepharoptosis in a patient with facial paralysis that is already operated on. Second, it might be an intricate problem and I would like to discuss it. Last but not least, it is an example of paradox existing in medicine.

Keywords: Facial paralysis, blepharoptosis, tendon transfer, Z-plasty, sternocleiodomastoid muscle flap

Mehmet O. Yenidünya. Blepharoptosis Following Surgery for Facial Paralysis. Med J Islamic World Acad Sci. 2015; 23(2): 63-66

Corresponding Author: Mehmet O. Yenidünya, Türkiye

Full Text PDF
Download citation
Reference Manager
Share with email
Send email to author

Similar articles
Google Scholar

Copyright © 2023 All Rights Reserved.