Abstract
In severe cicatricial ectropion the scarring and shrinkage between tarsus and periosteum can lead to fixation of the lid margin to the underlying bone. This is often the result of radical maxillectomy or tumor excision with consecutive radiation. A series of seven patients with this severe form of cicatricial ectropion is presented. All patients had had several previous operative procedures and two of them inferior orbital rim augmentation using free bone grafts. The extremely low position of the inferiorly frozen lid caused exposure keratitis. One patient lost his eye by perforation of a corneal ulcer. In two patients exposure keratitis was reduced by performing a large free skin graft and a transpositional flap from the upper lid. As free grafts have a high failure rate, tend to contract, and are not able to fill up the tissue deficit, a thick myocutaneous transposition flap from the area immediately above the eyebrow was used in four patients. These flaps provided a better blood supply and did not cont...
Published Version
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