Hard Palate Mucosa Grafts for Cicatricial Entropion

ABSTRACT

Various surgical procedures have been described for correction of cicatricial entropion of the eyelid. Many of them fail to provide long-term correction and anatomic alteration which is the excessive scarring of the posterior lamella of the eyelid. Hard palate mucosa grafts provide a smooth mucosal surface to the cornea and buttress the scarred tissues of the posterior eyelid. Ten eyelids of eight patients underwent eyelid margin reconstruction using hard palate mucosa graft. Cicatricial entropions were secondary to chemical burn(2 patients), herpes zoster (1 patient), atopic dermatitis (1 patient), toxic epidermal necrolysis (1 patient) and Stevens-Johnson syndrome (3 patients). Surgical results in ten eyelids were satisfactory. The grafts contracted minimaIly, and the palatal donor site healing was completed in 2-4 weeks.