The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid

Azuma, Ryuichi; Aoki, Shimpo; Aizawa, Tetsushi; Kuwabara, Masahiro; Kiyosawa, Tomoharu

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자료유형: 학술저널

저자정보: Azuma, Ryuichi (Department of Plastic Surgery, National Defense Medical College) Aoki, Shimpo (Department of Plastic Surgery, National Defense Medical College) Aizawa, Tetsushi (Department of Plastic Surgery, National Defense Medical College) Kuwabara, Masahiro (Department of Plastic Surgery, National Defense Medical College) Kiyosawa, Tomoharu (Department of Plastic Surgery, National Defense Medical College)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제2호

발행연도: 2018.1

수록면: 135 - 139 (5page)

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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.

#Eyelids #Facial paralysis #Ectropion #Reconstructive surgical procedures

참고문헌 (12)

참고문헌 신청

Rahman I / 2007 / Ophthalmic management of facial nerve palsy: a review / Surv Ophthalmol 52:121~144

Carter SR / 2000 / Involutional entropion and ectropion of the Asian lower eyelid / Ophthal Plast Reconstr Surg 16:45~49

Smith B / 1970 / Oculoplastic surgery: a compendium of principles and technique / C.V. Mosby Company

Flowers RS / 1997 / Grabb and Smith's plastic surgery / Lippincott Williams & Wilkins :628~630

Anderson RL / 1979 / The tarsal strip procedure / Arch Ophthalmol 97:2192~2196

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