The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid
Archives of Plastic Surgery
;
: 135-139, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-713593
ABSTRACT
BACKGROUND:
Static reconstruction surgery that tightens the tension of the inferior tarsus, thereby raising the lax lower eyelid, is a common treatment for paralytic ectropion of the lower eyelid. We present one such operative procedure, in which an orbicularis oculi muscle flap was used.METHODS:
The surgical technique involves partial resection of the tarsus and the skin, as well as a superior-based orbicularis oculi muscle flap that is sutured to the firm tissue present on the Whitnall tubercle. The muscle flap is approximately 7 mm in width and 15 mm in length, with a superior pedicle that is attached to the tarsus at the medial point of the resected tarsus. The procedure results in contact between the ocular surface and the lower eyelid.RESULTS:
The procedure was performed in 11 patients with lower eyelid ectropion due to facial paralysis. Ten cases showed a favorable outcome following surgery, with stable results seen over an average follow-up period of 4.5 years. In one case, recurrence of ectropion was observed 2 months after surgery due to an insufficient correction, and the patient required repeat surgery.CONCLUSIONS:
The orbicularis oculi muscle flap was an effective means of suspension and was able to maintain long-term traction tension. This procedure can therefore be considered a favorable treatment option for lower eyelid ectropion due to facial paralysis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Recidiva
/
Reoperação
/
Pele
/
Procedimentos Cirúrgicos Operatórios
/
Tração
/
Seguimentos
/
Procedimentos de Cirurgia Plástica
/
Ectrópio
/
Pálpebras
/
Paralisia Facial
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Archives of Plastic Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
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