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J Plast Reconstr Aesthet Surg. 2009 Dec;62(12):1598-601. doi: 10.1016/j.bjps.2008.07.026. Epub 2008 Nov 18.

Surgical correction of lower eyelid paralysis with suture screw anchors.

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Department of Plastic and Reconstructive Surgery, Clínica Universitaria, Universidad de Navarra, C/ Pío XII, 36, 31008 Pamplona, Spain.


Among the major disorders of the lower eyelid due to peripheral facial paralysis are lagophthalmos, eyelid ptosis and ectropion, with or without epiphora. There are several surgical techniques for correcting ectropion and lower eyelid ptosis. This article describes a modification of the classic technique of suspension using tendons, which consists of anchoring the tendon to the frontal apophysis of the maxillary bone and external orbital bone with suture screw anchors. Using the described technique, we obtained significant improvement of epiphora.

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