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At least 181 records · Page 10Linked to original sources
PubMed1975

Internal tarsus-orbicularis resection for senile spastic entropion.

This report describes the surgical correction of senile spastic entropion by internally resecting tarsus and orbicularis muscle. A triangle of tarsus is removed with the apex at the margin and the base at the inferior border and a similar amount of orbicularis muscle is resected. Each layer is approximated separately. The shortened tarsus improves the apposition of the lid aagainst the globe and the tightened orbicularis aids in maintaining this stability.

Aged↗
PubMed2004

Two brothers with trichiasis, entropion and corneal scarring, sensorineural hearing loss, progressive thinning of scalp hair, mild learning difficulties and distinct facial features. A new syndrome?

Two brothers with very similar phenotypes involving trichiasis (misdirected lashes), entropion with corneal abrasions, strabismus, progressive thinning of the scalp hair, sensorineural hearing impairment, mild learning difficulties, and inguinal hernias are described. They have similar, distinctive facial features with deep-set eyes, a high nasal bridge and a short philtrum. Both brothers are carriers of a maternally inherited apparently balanced translocation of chromosomes 11 and 18: 46,XY, t(11;18)(p13;q21)mat. However, this is thought to be coincidental, since their younger brother also carries this translocation and is phenotypically normal. Although they have many features that are found in the ectodermal dysplasia syndromes, their combination of features is distinct and has to our knowledge not been previously reported.

Adolescent↗
PubMed1991

Involutional entropion: a retrospective analysis of the Wies procedure alone or combined with a horizontal shortening procedure.

The surgical management of 95 cases of involutional entropion were reviewed to form this retrospective study. The 66 cases treated with the Wies procedure alone had a recurrence rate of 11%. The 29 cases treated with a combined procedure consisting of a Wies procedure with a lateral canthal horizontal shortening had no recurrences. All patients had a minimum of 6 months postoperative follow-up. The etiologic factors as they relate to the appropriate surgical procedures are discussed.

Aged↗
PubMed1991

A modification of the lateral tarsal strip procedure with resection of orbicularis muscle for entropion repair.

The lateral tarsal strip procedure addresses lateral canthal laxity, but is inadequate in some patients with entropion who have overriding of the orbicularis muscle. We describe our technique, which incorporates resection of the hypertrophied orbicularis. We have used this modification of the lateral tarsal strip procedure in 21 eyelids (15 patients) with excellent results.

Adult↗
PubMedDate not supplied

[Carcass tarsomargoplasty in involutional (senile) entropion of the lower eyelid].

The authors analyze the literature and their own data on the structure of the lower lid in health and involution and present their version of the development of the lower lid entropion and a method for surgical correction of this abnormality, carcass tarsomargoplasty, developed by them. The gist of this surgical intervention is fortification of the lower eyelid carcass structure by implantation into the depth of the eyelid of dosed shaped plates, molding of the lower eyelid shape, and fixation of the pretarsal portion of the skin (in the lower segment of the eyelid to the tarsal plate). Eleven patients were operated on; functional and cosmetic results were good, as evidenced by a follow-up of 11 months.

Entropion↗
PubMed1986

Treatment of upper eyelid entropion. Lid split surgery and fibrin sealing of free skin transplants.

The repair of severe upper eyelid entropion with trichiasis was reported early in ophthalmological literature; a historical review of the main operative techniques is provided. The aim of treatment is to bring the eyelashes away from the lid margin. Recent procedures use an upward transposition of the anterior lamella, which is performed by a lid split technique. The free anterior tarsal surface must be covered by a free, autologous skin graft or mucous-membrane graft to stabilize the free lid margin and to prevent the tarsal plate from shrinking. A fibrin-sealing method is used for the fixation of the graft on the tarsus, thus making sutures unnecessary. The anterior tarsal surface is covered by the fibrin-glued transplant, which prevents the posterior lamella from shrinking and does not allow the lashes to descend to the lid margin again. The results of using this new method on seven patients are presented.

Entropion↗
PubMed1988

Eyelid fistula following Wies entropion repair.

Fistula formation following eyelid surgery is uncommon. A patient developed an eyelid fistula and tearing shortly after a Wies entropion procedure and was effectively treated by excising the involved portion of the eyelid.

Aged↗
PubMed1979

Modified Wheeler orbicularis overlap procedure for senile entropion.

Senile entropion is a condition involving the lower lid due to aging. Surgical correction has been directed to either increasing the vertical or horizontal tension on the tarsus. While all are good, each has its shortcomings with resultant recurrences. The procedure we are presenting is a combination of features which has given us the least recurrence rate. These include horizontal shortening of skin and orbicularis muscle and positioning of orbicularis straps so as to prevent their riding up on the tarsus. Figures illustrating the procedure in detail as well as pre and postoperative photos are shown.

Dermatologic Surgical Procedures↗
PubMed1979

[The entropion of the upper lid (author's transl)].

The non-cicatricial rolling-inwards of the upper lid is a rare disease. The horizontal tarsotomy by Hadija correct the entropion and eliminate the irritating trichiasis. It is not of less importance, to tauten the reduced elasticity of the fascia tarsoorbitalis. Therefore is necessary a skin resection and a separate suture of the lamina for additional strengthening and permanence of the lid eversion. The method of operation was successful in 12 from 15 cases.

Entropion↗
PubMed1983

Surgery for involutional entropion.

Surgery for involutional entropion must correct horizontal eyelid laxity, vertical laxity, and overriding of the tarsus by the infra-tarsal tissues. The surgery should give lasting functional and pleasing cosmetic results. These goals are achieved with: 1) a blepharoplasty incision and reflection of a skin-muscle flap; 2) excision of a wedge of eyelid tissue at the lateral canthus; 3) barrier sutures or tuck of the retractors; 4) reattachment of the lid to the lateral orbital rim; and 5) excision of excess skin.

Aged↗
PubMed1983

Absorbable intracutaneous skin closure after skin resection in entropion operations.

After resection in the eye region, skin closure is most often performed with non-absorbable single knots. To investigate how far intracutaneous skin closure with Dexon absorbable suture material could demonstrate advantages to the traditional suture technique, 57 patients with senile entropions of the lower eyelid were randomized into one of two treatment groups. After a scaphoidal skin resection and resection of fibers of orbicularis muscle, the skin closure was performed with either continuous intracutaneous Dexon 6 or single knots of silk. This study demonstrates that both methods are easy and safe, but a superiority of the technique with absorbable intracutaneous skin closure was found in regard to immediate cosmetic satisfaction and time-consumption at controls, if necessary, because removal of suture material is not necessary.

Absorption↗
PubMed1983

Senile entropion: the importance of eyelid laxity.

In senile entropion preoperative assessment of eyelid laxity will determine whether the condition is primarily due to increased horizontal lid laxity or to disinsertion of the retractors of the lower lid, with subsequent superior migration of the orbicularis. With increased horizontal lid laxity the lid must be surgically tightened. If such laxity is not present, an operation directed at the orbicularis or at the retractors of the lower lid is advisable. This approach had an initial success rate of 97% in a series of 75 new cases and 15 cases referred for reoperation; a second operation was successful in two of the three instances of primary failure.

Aging↗
PubMed1983

[The chondromucosal graft. Its use in the correction of entropion caused by tarsoconjunctival cicatrix, trichiasis and distichiasis].

The use of chondromucosal grafts is the classical treatment for reconstruction of the eyelids, whereas these grafts are less employed for correction of tarso-conjunctival scars due to either disease or surgery. The ideal nasal graft is the triangular cartilage, as its mucosa is more delicate and more adhesive than that of the septum, and it separation and positioning do not involve any problems if certain rules are followed. The technique appears attractive to us, as it is simple to perform, there is a lack of postoperative complications and it is logical (replacing a pathological tissue or a missing tissue by an identical one, keeping the lids framework). It appears to be not enough employed in trachomatous entropion (both eyelids being generally affected). However, the technique is useful: during first intention surgery (whether associated or not with tarsectomy); in all cases of recurrence, where it appears to be the only worthwhile treatment (trachomatous eyelids already operated upon by another method, tarsectomy alone).

Cartilage↗
PubMed1977

[Treatment of spastic entropion by cautery (author's transl)].

Ziegler's cautery is our operation of choice for the treatment of most cases of spastic entropion. The advantage of this technic is the fact that the procedure is very efficient with regard to function and cosmetic effect and takes very little time.

Blepharospasm↗
PubMed1977

Cicatricial entropion.

One hundred thirty-five cases of cicatricial entropion operated by the Oculo-Plastic Service of the Manhattan Eye, Ear & Throat Hospital were reviewed. Results of 114 of these were available for study. There was an overall success rate in primary surgery of 57 percent. Of those cases reoperated, only nine percent had a subsequent successful result. The most common procedure done was the transverse blepharotomy and marginal rotation. There was no statistical correlation between the success rate and the age or sex of the patient. Results on the fellow eye correlated well with results of the first eye in bilateral cases.

Adolescent↗