01835nas a2200181   4500000000100000008004100001653003000042653002100072653005500093100001400148700001900162700001100181245011600192856009500308300001200403490000700415520123100422       2015                            d10aBurns and Plastic Surgery10aMedical Sciences10aPlastic and Reconstructive Surgery and Anaesthesia1 aSinghal M1 aBhattacharya R1 aJain S00aDynamic temporalis muscle transfer revisited – a Technique for correction of lagopthalmos in leprosy patients  uhttps://www.statperson.com/Journal/ScienceAndTechnology/Article/Volume14Issue2/14_2_24.pdf  a344-3470 v143 a<p><strong>Background</strong>: Leprosy is the most common cause of facial paralysis in India. Lagophthalmos is its most common manifestation. The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity. <strong>Patients and Methods</strong>: 20 patients of leprosy who presented with lagophthalmos were included in the study. All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Change in appearance of the eye and function of the eyelids was assessed post operatively.<br />
<strong>Results</strong>: All cases underwent dynamic temporalis myofascial sling transfer for correction of lagophthalmos. Temporalis Muscle transfer for bilateral cases were done in the same sitting. Anderson’s modification of Gillies procedure was done in 13 cases and Johnson’s operation was done in 7 cases. Mean lid gap reduced to 9.09 mm in straight gaze, 1.59 mm in gentle closure and 0.5 mm in tight closure. <strong>Conclusion</strong>: The temporalis muscle transfer ensured a good functional eyelid closure thus preventing corneal exposure and progression to impairment of visual acquity.</p>