ABSTRACT
El ectropión o eversión del párpado, es la malposición palpebral más frecuente. Al alterar la función protectora palpebral puede causar epífora, lagoftalmos, queratinización, irritación crónica, dolor o ulceración. Se distinguen 5 tipos de ectropión en función de su mecanismo causal: congénito, paralítico, involutivo, cicatricial y mecánico. Lo más habitual en dermatología, es la presencia de ectropión de tipo mixto, con elementos involutivos y mecánico-traccionales. Existen varias técnicas reparadoras de ectropión cuya indicación dependerá del componente patogénico principal. Revisamos la anatomía básica palpebral y exponemos la técnica exploratoria que nos permitirá analizar el riesgo de ectropión para prevenir su aparición o determinar la patogenia del ectropión ya establecido para definir la técnica reparadora más apropiada
Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Ectropion/prevention & control , Ectropion/surgery , Plastic Surgery Procedures/methods , Ophthalmologic Surgical Procedures/methods , Eyelids/surgeryABSTRACT
Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique.
Subject(s)
Ectropion , Lacrimal Apparatus Diseases , Skin Neoplasms , Dermatologic Surgical Procedures , Ectropion/etiology , Eyelids/surgery , HumansABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Occipital Bone/pathology , Head and Neck Neoplasms/diagnosis , Hyperplasia/diagnosis , Hyperplasia/pathology , Epidermal Cyst/pathology , Scalp/pathology , Head/pathologySubject(s)
Epidermal Cyst/pathology , Scalp Dermatoses/pathology , Aged, 80 and over , Female , Humans , Time FactorsABSTRACT
No disponible
Subject(s)
Humans , Conjunctiva/surgery , Surgical Flaps , Cheek/surgery , Mohs Surgery/methods , Ectropion/surgery , Suture TechniquesSubject(s)
Blepharoplasty/methods , Carcinoma, Basal Cell/surgery , Eyelid Neoplasms/surgery , Surgical Flaps , Humans , MaleABSTRACT
No disponible