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At least 163 records · Page 9Linked to original sources
PubMed1994

Treatment of paralytic ectropion with composite chondrocutaneous graft.

We present our experience with correction of paralytic ectropion in 10 patients with a composite chondrocutaneous graft obtained from the scapha of the ear. This large composite graft is sutured to the tarsal plate to support the lower lid. It prevented exposure keratitis in all patients. Two patients needed minor secondary revisions of the corners of the cartilage graft. The donor defect healed satisfactorily without deforming the ear. There were no other complications and no other lid or visual problems. At 3-year follow-up, the results thus far appear long lasting.

Aged↗
PubMed1990

Cicatricial ectropion in lamellar ichthyosis.

A 35-year-old woman presented with bilateral lower lid ectropion associated with lamellar ichthyosis. She was successfully treated with postauricular skin grafts and horizontal lid shortenings. This report reviews the literature on the surgical management of this condition and suggests several modifications to prevent recurrence.

Adult↗
PubMed1990

Bipedicle myocutaneous flap repair of cicatricial ectropion.

We present a new approach to the bipedicle myocutaneous upper eyelid to lower eyelid flap in the repair of cicatricial ectropion in lower eyelid reconstruction, and in the release of tension caused by a previous cheek rotational flap. By incorporating the pedicles into the flap design, we prevent the persistent lymphedema and the raw tissue placed against exposed epidermis encountered in previous bipedicle myocutaneous flaps. Although there may be disadvantages associated with this procedure, we have not encountered any to date. Advantages of this procedure include the double source of blood supply and the superior cosmetic result as well as the avoidance of a second operative procedure. We recommend the use of the bipedicle myocutaneous flap in selected cases.

Cicatrix↗
PubMed1992

Ectropion following entropion surgery: an unhappy patient and physician.

Ectropion following entropion surgery is an uncommon situation that creates an unhappy patient and physician when it occurs. The precipitating events that lead to this situation may be related to a faulty understanding of the pathophysiology of the entropic process, utilization of an inappropriate technique, overcorrection of entropion repair, bleeding into the operative field with subsequent scarring of the lid, or a combination of the above. Correction of this situation requires restoration of the normal anatomy where possible, release of any scar bands, and often a lid-tightening procedure.

Aged↗
PubMed1992

Angle closure glaucoma following a combined blepharoplasty and ectropion repair.

This paper reports an occurrence of angle closure glaucoma following a combined blepharoplasty and ectropion repair. We are unaware of any previous reports of such an incident. Specific to this case was the coexistence of a cataract that contributed to the narrowing of the anterior chamber. This condition, along with pupil dilation secondary to the anesthetic, precipitated a phacomorphic angle closure glaucoma attack, necessitating emergency cataract surgery. Because other procedures involve pupillary dilation as a potential side effect, we recommend an increased awareness of this potential postoperative complication.

Acute Disease↗
PubMed1988

Surgical correction of entropion and ectropion in the same lid.

A patient with medial ectropion and lateral entropion of the same lower lid is presented, and the surgical management of this unusual condition utilizing a horizontal lid-shortening, orbicularis sling procedure, fixation of the posterior and anterior lamellae of the lid, and resection of the tarsal conjunctival layer is described. We believe that the key to the successful management of this condition lies in treating each component surgically as if it were a separate entity, and by using a combination of surgical techniques, both eyelid malpositions can be corrected.

Aged↗
PubMed1994

The "Diamond Head" graft for paralytic ectropion of the lower eyelid.

Traditional methods of paralytic ectropion repair fail to elevate the medial lower lid and inferior punctum into the proper position. That deficiency does not exist with relatively simple, time-proven technique we have described. A lazy trapezoidal-shaped cartilage graft attached to a fascial sling restored the lost tone and medial lid posture, thrusting the punctum back into its normal and properly functioning position. The operation takes its name from Diamond Head crater in Waikiki, Hawaii, whose silhouette resembles the required cartilage graft responsible for the correction.

Adult↗
PubMed1987

Congenital ichthyosis with alopecia, eclabion, ectropion and mental retardation--a new genetic syndrome.

A syndrome with severe generalized congenital ichthyosis, alopecia, eclabion, ectropion and mental retardation without neurological symptoms or macular changes in the eyes was seen in two sibs and in two aunts and uncles in an inbred North-Swedish family. The clinical picture of the patients in the present family strongly deviated from that seen in the Sjögren-Larsson syndrome found in the same area. This could be a new syndrome with autosomal recessive inheritance.

Adult↗
PubMed1988

Pedicle flaps for cicatricial ectropion.

A surgical procedure is described for the correction of cicatricial ectropion secondary to actinic skin damage. This involves the rotation of an upper lid skin and muscle flap to the lower lid, thereby reversing the cicatrising process. The procedure, its advantages and disadvantages, are outlined. The procedure was successful in 44 of the 48 lids reviewed.

Cicatrix↗
PubMed1984

The correction of paralytic medial ectropion.

Ten cases of paralytic medial ectropion associated with 7th nerve palsy were treated with a new procedure involving shortening of the medial canthal structures and division of the inferior canaliculus with subsequent marsupialisation. The success of this operation is supported by anatomical and functional studies.

Aged↗
PubMed1991

Medical canthal resection: an effective long-term cure for medial ectropion.

The results of 37 medial canthal resection procedures performed for the correction of severe paralytic or involutional medial ectropion are presented with an average follow-up of 5.4 years. Epiphora was improved in 33 out of the 37 cases and all but one patient had an anatomically improved lid-globe apposition, medial canthal angle, and posterofixation of the medial canthus. These results confirmed the long-term value of the operation.

Aged↗
PubMedDate not supplied

Choroidal neurofibromatosis with congenital iris ectropion and buphthalmos: relationship and significance.

We report a case of unilateral buphthalmos in neurofibromatosis-1 without the other classical characteristics of the François syndrome (triad of unilateral buphthalmos, homolateral eyelid plexiform neuroma, and homolateral facial hemihypertrophy) and emphasize the difficulties in early diagnosis. The painful buphthalmic right eye was enucleated at the age of 13 months. Histopathology demonstrated diffuse choroidal neurofibromatosis in association with congenital iris ectropion syndrome. Cutaneous manifestations of neurofibromatosis subsequently developed in the patient and stigmata of the disease were later identified in other asymptomatic family members.

Choroid Neoplasms↗
PubMedDate not supplied

Surgical reconstruction of severe cicatricial ectropion in a puppy.

A three-month-old chow chow mixed-breed puppy was presented with severe cicatricial ectropion of the upper eyelids after being burned maliciously. The burn wounds healed by second intention with contracture, causing eversion, elevation, and immobilization of the upper eyelids. The puppy was unable to blink or close the upper eyelids due to cicatrix (i.e., scar) formation. Surgical repair using tissue-relaxing procedures was successful in reducing corneal exposure and improving the puppy's appearance.

Animals↗
PubMedDate not supplied

[Congenital total ectropion of upper lid].

Two cases with congenital total ectropion of the upper eyelids are reported (1 bilateral and 1 unilateral). There were no associated ocular or general abnormalities nor any apparent causes. One child was born normally, the other by cesarean section. The disease is not caused by difficult labor through natural birth passages. The condition is usually cured by conservative therapy. If surgery is carried out, it should be performed as early as possible in order to rule out secondary infections, amblyopia, epidermization of the conjunctiva, etc.

Ectropion↗
PubMed2001

Prevention of ectropion in reconstruction of facial defects.

Lower eyelid malpositions and ocular damage occur with inadequate reconstructions of facial defects that encroach on the periocular region. Reconstructive principles and techniques are presented that are essential in the prevention of ectropion in these situations. Eyelid and periocular anatomy is reviewed. The use of canthalplasties, canalicular reconstruction, and ancillary techniques for facial flaps are presented.

Aged↗