{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T22:13:25Z","timestamp":1768515205471,"version":"3.49.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The study determined to compare the clinical outcomes of traditional gold weight implantation for the correction of paralytic lagophthalmos with those of a newly designed model.<\/jats:p><jats:p>\n          Methods\u2003In this retrospective cohort study, we enrolled 30 patients (76% females; average age 60.8\u2009\u00b1\u200912 years) with facial palsy who underwent implantation of either the traditional pretarsal gold weight (PT group; n\u2009=\u200915) or a new supratarsal model (ST group; n\u2009=\u200915) from May 2014 to April 2019. The main outcome measures were the 12-month postoperative weight prominence, weight migration, improvement of lagophthalmos, upper eyelid contour, and upper eyelid ptosis. The secondary outcome was long-term (24 months) reoperative rate.<\/jats:p><jats:p>\n          Results\u2003The new model group had significantly better eyelid contour (risk ratio [RR] 3.16, 95% confidence interval [CI] 1.62\u20136.15, p\u2009=\u20090.001), less weight prominence (RR 1.74, 95% CI 1.13\u20132.70, p\u2009=\u20090.013), less weight migration (RR 1.31, 95% CI 1.12\u20131.54, p\u2009=\u20090.001), and less eyelid ptosis (RR 2.36, 95% CI 1.21\u20134.59, p\u2009=\u20090.011) than the traditional model group. Improvement of lagophthalmos was not statistically significant between the two groups (RR 1.44, 95% CI 0.72\u20132.91, p\u2009=\u20090.303). The 24-month reoperative rate was 53.3% in the PT group versus 13.3% in the ST group (RR 2.00, 95% CI 1.15\u20133.49, p\u2009=\u20090.015).<\/jats:p><jats:p>\n          Conclusion\u2003The newly designed supratarsal gold weight showed superior postoperative outcomes than the standard traditional model.<\/jats:p>","DOI":"10.1055\/s-0043-1777287","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T23:56:01Z","timestamp":1709250961000},"page":"163-168","source":"Crossref","is-referenced-by-count":4,"title":["Implantation of a Newly Designed Supratarsal Gold Weight versus the Traditional Pretarsal Model for the Correction of Long-standing Paralytic Lagophthalmos: A Retrospective Cohort Study"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6467-945X","authenticated-orcid":false,"given":"Natthiya","family":"Lailaksiri","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4696-1830","authenticated-orcid":false,"given":"Pawarit","family":"Wanichsetakul","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medicine, Thammasat University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8033-0066","authenticated-orcid":false,"given":"Preamjit","family":"Saonanon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1025e","DOI":"10.1097\/PRS.0000000000001273","article-title":"Contemporary solutions for the treatment of facial nerve paralysis","volume":"135","author":"R M Garcia","year":"2015","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1097\/ICU.0000000000000510","article-title":"Controversies in periocular reconstruction for facial nerve palsy","volume":"29","author":"R C Allen","year":"2018","journal-title":"Curr Opin Ophthalmol"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/PRS.0b013e3181c2a4f2","article-title":"Long-term results for the use of gold eyelid load weights in the management of facial paralysis","volume":"125","author":"S Rofagha","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1136\/bjophthalmol-2011-300732","article-title":"Indications and outcomes for revision of gold weight implants in upper eyelid loading","volume":"96","author":"J C Bladen","year":"2012","journal-title":"Br J Ophthalmol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/00002341-198906000-00005","article-title":"Pretarsal fixation of gold weights in facial nerve palsy","volume":"5","author":"S R Seiff","year":"1989","journal-title":"Ophthal Plast Reconstr Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1097\/SCS.0000000000002369","article-title":"Shape and size of tarsal plates","volume":"27","author":"Y S Kim","year":"2016","journal-title":"J Craniofac 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Surg"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1136\/bjophthalmol-2016-310089","article-title":"Late outcomes of gold weights and platinum chains for upper eyelid loading","volume":"102","author":"W F Siah","year":"2018","journal-title":"Br J Ophthalmol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.ajo.2019.11.025","article-title":"Long-term outcomes of upper eyelid loading with platinum segment chains for lagophthalmos: an adjustable approach","volume":"214","author":"E Ben Artsi","year":"2020","journal-title":"Am J Ophthalmol"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1001\/archfaci.5.2.166","article-title":"The platinum chain: a new upper-lid implant for facial palsy","volume":"5","author":"A Berghaus","year":"2003","journal-title":"Arch Facial Plast Surg"},{"issue":"12","key":"ref16","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1136\/bjophthalmol-2015-306869","article-title":"Platinum segments: a new platinum chain for adjustable upper eyelid loading","volume":"99","author":"R Malhotra","year":"2015","journal-title":"Br J Ophthalmol"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5999\/aps.2017.01599","article-title":"Upper eyelid platinum weight placement for the treatment of paralytic lagophthalmos: a new plane between the inner septum and the levator aponeurosis","volume":"45","author":"T S Oh","year":"2018","journal-title":"Arch Plast Surg"}],"container-title":["Archives of Plastic 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