ABSTRACT
Lower eyelid dysfunction in the patient with facial paralysis is frequently the result
of several deleterious factors, including the loss of orbicularis tone, involutional
changes in the cathal ligaments, the effect of aging on the midfacial soft tissue
structures, and malposition of the lower eyelid punctum. This dysfunction is manifested
as lagophthalmos, ectropion, and epiphora. Fortunately, there are several surgical
methods by which the various abnormalities can be corrected or compensated for. This
article addresses the management of the lower eyelid and several of the current methods
available to the surgeon for management of the lower eyelid in facial paralysis.
KEYWORD
Lower eyelid - tarsal suspension - cartilage grafting - medial canthal plication
