PURPOSE: To evaluate the effectiveness of free orbicularis oculi muscle grafts in correcting volume @entity85 after protractor myectomy in @entity1 with essential @entity9663 . METHODS: Prospective case series. During the 13-month period from October 2000 through November 2001, all @entity1 with essential @entity9663 undergoing primary eyelid protractor myectomy received an orbicularis oculi muscle graft to replace the volume @entity85 created by the myectomy. Only @entity1 who had at least 6 months of postoperative follow-up were included in the analysis. RESULTS: Forty-six @entity1 underwent primary eyelid protractor myectomy and had a free orbicularis oculi muscle graft for volume replacement. All @entity1 had significant functional improvement of their eyelid @entity2473 after the myectomy. Of the 38 @entity1 who underwent upper eyelid myectomy, 3 @entity1 were overcorrected and no @entity1 were undercorrected with the orbicularis muscle graft. Two of the overcorrected @entity1 underwent surgical debulking of their muscle grafts. Of the 8 @entity1 who underwent lower eyelid myectomy, no @entity1 were overcorrected and 1 @entity1 was undercorrected. None of the @entity1 were observed to have any @entity2473 , contractions, or other signs of muscular activity or aberrant innervation of the muscle graft. CONCLUSIONS: The orbicularis oculi muscle graft is a useful adjunct to protractor myectomy in improving the aesthetic outcomes for @entity9663 @entity1 . Our study demonstrates the viability of the orbicularis oculi muscle graft and may lead to future applications of the graft in facial aesthetics.

Orbicularis oculi muscle graft augmentation after protractor myectomy in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity85 :: ('MESH:D009140', 'Disease') :: ['deficit deformity', 'deficit deformities'] @entity2473 :: ('MESH:D013035', 'Disease') :: ['spasms'] @entity9663 :: ('MESH:D001764', 'Disease') :: ['blepharospasm']
@entity9663 :: (MESH:D001764,Disease) :: ['blepharospasm']
