{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T09:30:52Z","timestamp":1769851852369,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1994,3,1]],"date-time":"1994-03-01T00:00:00Z","timestamp":762480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1994,3]]},"abstract":"<jats:p>Protection of the eye is the primary concern in managing the patient with facial paralysis; however, the aesthetic consequences cannot be overlooked. Lagophthalmos has traditionally been treated with frequent ocular lubrication, medical eye care, and tarsorrhaphy. This approach is fraught with the difficulties of poor patient compliance and unacceptable cosmesis. We suggest a protocol for the complete ocular management with emphasis on <jats:italic>Immediate<\/jats:italic> rather than delayed surgical rehabilitation as a <jats:italic>primary<\/jats:italic> therapy in facial paralysis. Gold weight implantation to the upper lid and tightening of the lower lid at the lateral canthus are simple and reliable procedures that provide immediate functional and aesthetic improvement. This surgical technique has extremely low morbidity and Is reversible should facial function return. We have used this protocol in more than 30 patients with excellent results.<\/jats:p>","DOI":"10.1177\/019459989411000305","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:52:07Z","timestamp":1448434327000},"page":"288-295","source":"Crossref","is-referenced-by-count":14,"title":["Primary surgical management for rehabilitation of the paralyzed eye"],"prefix":"10.1002","volume":"110","author":[{"given":"Corey S.","family":"Maas","sequence":"first","affiliation":[{"name":"Division of Facial Plastic Surgery Department of Otolaryngology University of California San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Benecke","sequence":"additional","affiliation":[{"name":"Division of Neurotology St. Louis University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Holds","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology St. Louis University School of Medicine St. Louis Missouri"},{"name":"Department of Ophthalmology St. Louis University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larry D.","family":"Schoenrock","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic Surgery Department of Otolaryngology University of California San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Simo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology St. Louis University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1994,3]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"339","volume-title":"The facial nerve","author":"Levine RE","year":"1986"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)32045-9"},{"key":"e_1_2_1_4_1","first-page":"105","volume-title":"Acoustic tumors","author":"Levine RE","year":"1979"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1987.01860060082020"},{"key":"e_1_2_1_6_1","first-page":"122","article-title":"Progress in the correction of facial palsy with tantalum wire and mesh","volume":"27","author":"Sheehan JD","year":"1950","journal-title":"Surgery"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(66)80056-5"},{"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":"10.1097\/00006534-197404000-00004"},{"key":"e_1_2_1_10_1","first-page":"1015","article-title":"Burklures dorsales graves de la lair. 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