Facial nerve palsy
Left facial nerve palsy in a 59 year-old man.
The pictures show left lower lid ectropion and upper lid retraction. The
retraction is the result of unopposed levator function. The ocular discomfort
results from the lower lid ectropion as well as upper lid retraction. The
tip of a cotton bud is useful in demonstrating to the patient the position
of the lids that can be achieved with surgery. In this case, a medial canthoplasty
may be used to reduce the medial ectropion. The retraction may be reduced
with levator disinsertion.
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