{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T21:41:58Z","timestamp":1774993318303,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":9274,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1990,12]]},"abstract":"<jats:p>Facial paralysis can result in serious keratopathy because of corneal exposure and inadequate lacrimation. Thirty\u2010seven patients underwent thirty\u2010eight gold weight upper lid implants to rehabilitate paralysis of the eyelid from various causes. When indicated, implantation was combined with lower lid ectropion repair, medial canthoplasty, or brow lift. Because of encouraging results in patients with longstanding facial paralysis, \u201cearly\u201d implantation (within 1\u00a0month of paralysis) was offered to patients with severe lagophthalmos in whom (1) a severe neural injury was documented at the time of transtemporal surgery or (2) delayed, incomplete return of function was expected. Gold weight implantation resulted in excellent eyelid closure, protection, and cosmesis. There were no infections or extrusions. Lagophthalmos and exposure keratitis resolved or were significantly improved in all patients, and most were able to dispense with eyedrops and salves. Visual acuity improved in 95% of patients\u2014a benefit even those without preoperative keratitis often achieved. A mild worsening of one patient's pre\u2010existing astigmatism developed, which resolved after reimplantation with a lighter weight. The implant is easily removed from those patients who, having undergone early implantation, eventually recover adequate function. Gold weight loading has become our procedure of choice for eyelid rehabilitation.<\/jats:p>","DOI":"10.1177\/019459989010300622","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T21:30:00Z","timestamp":1460151000000},"page":"1016-1023","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":85,"title":["Early gold weight eyelid implantation for facial paralysis"],"prefix":"10.1002","volume":"103","author":[{"given":"Jack M.","family":"Kartush","sequence":"first","affiliation":[{"name":"Michigan Ear Institute Providence Hospital, Southfield Farmington Hills Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Linstrom","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Providence Hospital, Southfield Farmington Hills Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"McCann","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Providence Hospital, Southfield Southfield Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm D.","family":"Graham","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Providence Hospital, Southfield Farmington Hills Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"122","article-title":"Progress in correction of facial palsy with tantalum wire and mesh","volume":"27","author":"Sheehan JE","year":"1950","journal-title":"Surgery"},{"key":"e_1_2_1_3_1","first-page":"48","article-title":"Dynamic closure of the lids in paralysis of the orbicularis muscle","volume":"57","author":"Arion HG","year":"1972","journal-title":"Int Surg"},{"key":"e_1_2_1_4_1","first-page":"303","article-title":"Le ressort palp\u00e9bral: Contribution a l'\u00e9tude de la chirurgie plastique de la puralysie faciale","volume":"11","author":"Morel\u2010Fatio D","year":"1965","journal-title":"Neuro\u2010Chir"},{"key":"e_1_2_1_5_1","first-page":"410","article-title":"Eine neue Operationsmethode gegen Lagophthalmus","volume":"132","author":"Illig KM","year":"1958","journal-title":"Klinische Monatsblaetter f\u00fcr Augenheilkunde"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(66)80056-5"},{"key":"e_1_2_1_7_1","first-page":"193","article-title":"Una nuova protesi palpebrale a gravita nelle paralesi del nervo faciale","volume":"81","author":"Pellegrini VM","year":"1970","journal-title":"Arch Ital di Otologia"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197401000-00004"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1987.01860060082020"},{"key":"e_1_2_1_10_1","first-page":"105","volume-title":"Acoustic tumors","author":"Levine RE","year":"1979"},{"key":"e_1_2_1_11_1","first-page":"489","article-title":"Reanimation of the paralyzed eyelid following cancer surgery","volume":"1","author":"May M","year":"1985","journal-title":"Head Neck Cancer"},{"key":"e_1_2_1_12_1","first-page":"231","volume-title":"Instructional Courses\u2010American Academy of Otolaryngology\u2014Head and Neck Surgery, 1989","author":"Kartush J","year":"1988"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988910100416"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989010300622","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989010300622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:46:42Z","timestamp":1760968002000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989010300622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,12]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1990,12]]}},"alternative-id":["10.1177\/019459989010300622"],"URL":"https:\/\/doi.org\/10.1177\/019459989010300622","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,12]]},"assertion":[{"value":"1990-02-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1990-02-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}