01474nas a2200313   4500000000100000008004100001260001300042653001500055653001000070653000900080653002000089653001100109653001100120653001200131653000900143653001600152653001400168653003200182653002000214100001300234700001100247245008200258856005900340300001000399490000700409050001500416520071500431022001401146       1997                            d  c1997 Mar10aAdolescent10aAdult10aAged10aEyelid Diseases10aFemale10aHumans10aleprosy10aMale10aMiddle Aged10aParalysis10aPostoperative Complications10aTemporal Muscle1 aSoares D1 aChew M00aTemporalis muscle transfer in the correction of lagophthalmos due to leprosy.  uhttp://leprev.ilsl.br/pdfs/1997/v68n1/pdf/v68n1a06.pdf  a38-420 v68  aSOARES19973 a<p>In the correction of lagophthalmos due to leprosy neuritis temporalis muscle transfer (TMT) is used to provide a motor to assist in lid closure. This study of TMT in 51 eyes was carried out to assess the effectiveness of TMT in achieving lid closure and corneal protection. The average lid gap preoperatively on light closure was 7.3 mm which was reduced to 3.2 mm on final follow-up. The average lid gap pre-operatively on tight closure was 5.3 mm which was reduced to 0.4 mm at final follow-up. It is possible to train patients with partial or total anesthesia of the cornea in a visual THINK-BLINK reflex. The common complications encountered were ectropion in 6 eyes (12%) and ptosis in 3 eyes (6%).</p>  a0305-7518