TY - JOUR
T1 - Efficacy and safety of platinum chain and gold weight implants for paralytic lagophthalmos
T2 - A systematic review
AU - Irawati, Yunia
AU - Gondhowiardjo, Tjahjono Darminto
AU - Soebono, Hardyanto
N1 - Funding Information:
We would like to thank Areyke Herlina Caroline Manorek for helping in English proofing and editing of this manuscript. We would also like to thank Florentina Priscilia, Carennia Paramita, Dewinta Retno Kurniawardhani, and Krystle Gabriella for helping to collect data, assist with the analysis, and revise the manuscript.
Publisher Copyright:
© 2021 Authors.
PY - 2021/6
Y1 - 2021/6
N2 - BACKGROUND Surgery has been proposed as a treatment of paralytic lagophthalmos. However, no consensus has been reached on the best treatment. This study was aimed to investigate the efficacy and safety between platinum chain and gold weight implants to treat paralytic lagophthalmos. METHODS This study used all randomized controlled trials or observational studies (prospective or retrospective) using platinum chain and gold weight implants for paralytic lagophthalmos surgery that were published from 1990 to 2020 in the PubMed, Cochrane, and Google Scholar databases. Efficacy was indicated by the reduction of ≥3 in lagophthalmos, and safety was measured based on complications after surgery. RESULTS The efficacy of platinum chain and gold weight implants were 60–100% and 10–93.6%, respectively. The complications of platinum chain implant were 0–2.9% of extrusion and 0–3.3% of migration. However, gold weight implant had 0–13.3% of migration. CONCLUSIONS Both platinum chain and gold weight implants have similar efficacy to treat paralytic lagophthalmos. However, gold weight implant has a higher rate of complication.
AB - BACKGROUND Surgery has been proposed as a treatment of paralytic lagophthalmos. However, no consensus has been reached on the best treatment. This study was aimed to investigate the efficacy and safety between platinum chain and gold weight implants to treat paralytic lagophthalmos. METHODS This study used all randomized controlled trials or observational studies (prospective or retrospective) using platinum chain and gold weight implants for paralytic lagophthalmos surgery that were published from 1990 to 2020 in the PubMed, Cochrane, and Google Scholar databases. Efficacy was indicated by the reduction of ≥3 in lagophthalmos, and safety was measured based on complications after surgery. RESULTS The efficacy of platinum chain and gold weight implants were 60–100% and 10–93.6%, respectively. The complications of platinum chain implant were 0–2.9% of extrusion and 0–3.3% of migration. However, gold weight implant had 0–13.3% of migration. CONCLUSIONS Both platinum chain and gold weight implants have similar efficacy to treat paralytic lagophthalmos. However, gold weight implant has a higher rate of complication.
KW - Paralytic lagophthalmus
KW - Prostheses and implants
KW - Surgical techniques
UR - http://www.scopus.com/inward/record.url?scp=85110572321&partnerID=8YFLogxK
U2 - 10.13181/mji.oa.214683
DO - 10.13181/mji.oa.214683
M3 - Article
AN - SCOPUS:85110572321
VL - 30
SP - 106
EP - 115
JO - Medical Journal of Indonesia
JF - Medical Journal of Indonesia
SN - 0853-1773
IS - 2
ER -