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National Journal of Maxillofacial Surgery
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Year : 2021  |  Volume : 12  |  Issue : 2  |  Page : 262-265

Late-onset inverse Bell's phenomenon after upper eyelid trauma

Department of Ophthalmology, University Hospital of Heraklion, Crete, Greece

Correspondence Address:
Dr. Dimitrios A Liakopoulos
Department of Ophthalmology, University Hospital of Heraklion, Stavrakia, Heraklion, Crete 71110
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njms.NJMS_283_20

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Bell's phenomenon evaluation is an important part of preoperative patient assessment for eyelid surgeries. Inverse Bell's phenomenon is a rare manifestation, usually observed in the early postoperative period following ptosis restoration surgeries, in pathological conditions, and in a small proportion of normal population. In the current case report, a 6-year-old girl presented with late-onset posttraumatic inverse Bell's phenomenon, 6 months after facial trauma with posttraumatic lagophthalmos. Rehabilitative blepharoplasty for the correction of lagophthalmos led to the restoration of inverse Bell's phenomenon 3 months postoperatively. Potential causative mechanisms are discussed for this late-onset manifestation of inverse Bell's response.

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