Correction Of Cicatricial Ectropion Research Articles

Orbicularis Oculi Myocutaneous Flap for Upper Cicatricial Ectropion.

The correction of cicatricial ectropion often presents a challenge to plastic surgeons because of the difficulty obtaining tissue of similar color and texture and producing minor morbidity to donor sites. The authors present the correction of upper cicatricial ectropion by rotating the orbicularis myocutaneous flap from the same lid. From April 2008 to March 2014, 8 consecutive patients with upper cicatricial ectropion underwent transfer of orbicularis oculi myocutaneous flap. The main outcome measures included the complications, recurrence, and cosmesis. All flaps were viable with partial recurrence observed in 1 severe case. Satisfactory function and cosmesis were obtained in the evaluation of the patients during the follow-up period with a 4- to 41-month range. The redundant flap which should be excised during the blepharoplasty can be used to correct upper cicatricial ectropion. Good results can be obtained because of the well-hidden incision scar and minor donor-site morbidity.

The surgical correction of cicatricial ectropion in an elderly lamellar ichthyosis patient

The term lamellar ichthyosis (LI) refers to a rare inherited skin disorder, which is present from birth. It is transmitted in an autosomal recessive pattern, and characterized by large skin scales that cover the entire body. Several eyelid abnormalities accompany this condition.

The use of tissue expanders in the correction of ectropion in an animal model

The use of tissue expanders in eyelid reconstruction has seen limited application. To determine the efficacy of tissue expanders in the correction of cicatricial ectropion, an animal model was developed. Lower-eyelid blepharoplasty with overcorrection was performed on 18 New Zealand white rabbits. After 1 month, if significant ectropion was present, tissue expanders (1.8-cm3 Cylindrical/Microdome [CUI Corporation, Carpinteria, Calif.]) were inserted on one side, the other eye being the control. These were inflated in the following weeks to a total volume of 2 cm3. The tissue expanders were then removed, and the animals were followed for 1 month. Although the early results were encouraging, the ectropion progressed toward its preoperative severity. It appears that lower-eyelid ectropion remains a therapeutic problem that is only partially corrected with tissue expansion alone.

Orbicularis Muscle Mobilization in Eyelid Reconstruction

• Mobilization of the orbicularis oculi muscle into recipient skin-graft beds was performed in seven patients. Following tumor resection, five eyelids were reconstructed using the Hughes procedure. Two eyelids had orbicularis muscle mobilization in preparation for the recipient graft site for correction of cicatricial ectropion following trauma. All skin grafts were viable and eyelid motility was enhanced. No complications were encountered.

Correction of cicatricial ectropion by means of a skin graft placed over an artificially hyper-distended area.

Correction of cicatricial ectropion by means of a skin graft placed over an artificially hyper-distended area.

Free Dermic Grafts for the Correction of Cicatricial Ectropion

This paper gives its author's reasons for preferring free dermic grafts for the correction of this condition, and explains the technic of their application and the subsequent dressing required. Read before the American Academy of Ophthalmology and Oto-Laryngology, October, 1919.