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KMID : 0358819880150030527
Journal of Korean Society of Plastic and Reconstructive Surgeons
1988 Volume.15 No. 3 p.527 ~ p.530
A STUDY ON MODIFIED TEMPORALIS TRANSFER FOR THE CORRECTION OF LAGOPHTHALMOS IN LEPROSY PATIENTS



Abstract
Among 58 lagophthalmos cases visited at the Institute for Leprosy Research, Korean Leprosy Control Association, 29 cases were treated with modified temporal-Is transfer and the other 29 cases were corrected by tarsorrhaphy operation, and the following results were obtained.
1) As compared with the Gillies method in temporalis transfer, the modified method which we have carried out has the advantages of a smaller incision, no visible bulge of muscle belly over the temple, and a direct line of action. For these reasons, it is recommend-able for doctors working in leprosy control institution after short course of training.
2) In all cases which were corrected by the modified temporalis transfer, eye closure action was quite satisfactory after biting exercise and there was no visible bulge of muscle belly over the temple. It was confirmed that the majority of corrected cases are kept their eyes closed during sleep. No complications were found after surgery.
3) In all cases which were corrected by tarsorrhaphy, eye closure action was weak and cosmetically it was unsatisfactory. This tarsorrhaphy is not recommended for the correc-
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