Abstract
s / International Journal of Surgery 12 (2014) S13eS117 S72 1308: REDUCING COMPLICATIONS FOLLOWING GOLD WEIGHT INSERTION FOR FACIAL PALSY R. Ching, F. Saldanha , R. Kuo, A.J. Durrani, G.C. Cormack, R.D. Price. Addenbrooke's University Hospital, Cambridge, UK. Introduction: Gold weight implants are a quick and effective intervention to address incomplete eyelid closure in patients with facial palsy. However they are not without risk, including extrusion and migration. Our aim was to review our own complications with gold weights in a specialist centre setting, and compare to different techniques described in the literature. Methods: Theatre records, implant registry and consultant logbooks were to identify patients who underwent gold weight insertion with documented follow-up between 2004 and 2011. The occurrence extrusion and migration was studied. Results: In 44 patients (mean age 59 years), who underwent 58 gold weight insertions, there were 3 (5.2%) extrusions and 10 (17.2%) migrations. The 3 extrusions occurred at a mean of 572 days postoperatively; all elected against further implantation. Nine patients experienced 10 episodes of migration; all except one underwent replacement or repositioning of the weight. A statistically significant reduction in complications resulted, if the weight was secured to the tarsal plate (p1⁄40.0460). Conclusions: Our review highlights the problem of migration and the lack of agreement as to the best method for reducing this. The simple technique used to secure the weight to the tarsal plate compares favourably with other methods when considering overall patient morbidity. 1320: HAND TRAUMA: A PROSPECTIVE STUDY OF ITS EPIDEMIOLOGY, INFECTION RATES AND FUNCTIONAL OUTCOMES WITH CONSIDERATION OF THE ROLE OF EARLY HAND THERAPY AND PROPHYLACTIC ANTIBIOTICS Rebecca Nicholas , Amy Bowes , Christos Miamiliotis , Ben Stockwell , Simon Myers . London School of Surgery, London, UK; Barts Health NHS Trust, London, UK; Barts & The London School of Medicine & Dentistry,
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