Correction of Lower Eyelid Retraction with En Glove Placement of Porcine Dermal Collagen Matrix Implant

Grumbine, F. Lawson; Idowu, Oluwatobi O; Kersten, Robert C.; DeParis, Sarah W.; Vagefi, M. Reza

doi:10.1097/prs.0000000000005376

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…The literature reported that a variety of grafts could be used as spacers for posterior lamellae in the lower lid, and it is proposed that grafts can be divided into 4 groups: autografts, allografts, xenografts, and synthetic grafts, including the hard palate, tarsal bone, nasal septal cartilage, human cadaver acellular dermis, acellular porcinederived membrane, and high-density polyethylene. [8][9][10][11][12][13][14][15][16] The decision in the selection of the best graft is associated with its long-term stability, complications at recipient and donor sites, and cosmesis. Ideally, the thickness, rigidity, and contour characteristics of grafts should be close to the tarsus and conjunctiva tissues, reduce irritation of the ocular surface, have lower rejection, contractures, and better biocompatibility, be easily accessible, and be stiff to facilitate providing strong support.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Graft materials may include hard palate, buccal mucosa, donor sclera, ear cartilage, nasal cartilage, alloplastic materials, and acellular porcine dermis. [8][9][10][11][12][13][14][15] The hard palate was first used as a graft patch for eyelid reconstruction in 1985. 10 Later, it was successfully used to correct lower eyelid retraction caused by varying etiologies.…”

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confidence: 99%

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Correction of Cicatricial Lower Eyelid Retraction and Entropion With Combined Scar Release, Hard Palate Graft, and Lateral Canthal Suspension

Zhang,

Yanjun,

2023

Journal of Craniofacial Surgery

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Objective: This study aimed to evaluate the outcome of a technique-combined scar release, hard palate spacer graft with the recession of the lower eyelid retractors, lateral canthal suspension in the repair of cicatricial lower eyelid retraction, and entropion. Methods: Records of 12 patients with cicatricial lower eyelid retraction and entropion who underwent the surgery from January 2019 to August 2021 were reviewed. Surgical techniques include the following procedures: release of scar, hard palate graft with recession of the lower eyelid retractors, and lateral canthal tightening to strengthen the support of the lower eyelid. The follow-up period was at least 12 months. Postoperative outcomes were evaluated by the improvement of lower eyelid retraction, resolution of eyelid entropion, and complications. Results: All patients showed resolution in lower lid entropion, and lower eyelid retraction was significantly improved with a mean elevation of 2.93±0.82 mm. None of the patients had severe complications postoperatively, and both ocular surface symptoms and cosmetic appearance were significantly improved. Conclusions: The technique achieves long-term stable outcomes in cicatricial lower lid retraction and entropion repair with a low morbidity rate.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Correction of Cicatricial Lower Eyelid Retraction and Entropion With Combined Scar Release, Hard Palate Graft, and Lateral Canthal Suspension

Zhang,

Yanjun,

2023

Journal of Craniofacial Surgery

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“…Attempts have been made to use biomaterials for clinical posterior lamellar reconstruction. ADM, derived from human (AlloDerm ® , BellaDerm ® ) [ 82 , 109 – 111 ], porcine (Endurage ® ) [ 112 – 114 ], or bovine (Surgimen ® ) [ 114 , 115 ] dermis, provides a convenient off-the-shelf alternative for tarsus substitutes due to its good histocompatibility and lower inflammation. They are flexible but sturdy flat sheets of cross-linked collagen matrixes with a basement membrane surface and a dermis surface.…”

Section: Discussion and Future Perspectivesmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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“…Different procedures have been proposed to correct lower eyelid retraction, including lateral canthal surgery (canthoplasty or canthopexy), transverse tarsotomy and tarsoconjunctival flap, autogenous spacers, retractor release, cheek suspension techniques and usage of fillers [2,[4][5][6][9][10][11][12][13][14][15][16][17][18][19]. In mild cases, typically a single underlying etiology exists that usually is sufficiently resolved by a simple procedurec.…”

Section: Discussionmentioning

confidence: 99%

Buccal mucosal membrane graft for correction of cicatricial lower eyelid retraction

2022

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Background To evaluate the outcomes of a surgical technique using buccal mucosal membrane graft for correction of cicatricial lower eyelid retraction. Methods Twelve patients with unilateral cicatricial lower eyelid retraction were enrolled in the study. All patients underwent a four-step surgical technique consisted of release of scars, midface lift, transfer of buccal mucosal membrane to posterior lamella as spacer graft, and canthal tightening. All patients were followed for at least 12 months. Results Mean preoperative Margin-to-Reflex-Distance 2 (MRD2) was 7.73 ± 1.10 mm, compared to mean postoperative MRD2 of 5.04 ± 0.49 mm (P < 0.0001). The mean improvement in retraction was 2.69 mm. Postoperative scleral show was present in only one case and no major complications were observed. Conclusion The four-step procedure (scar release, midface lift, buccal mucosal graft and canthal tightening) was an effective procedure to correct cicatricial lower eyelid retractions with acceptable outcomes and a low morbidity rate.

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Correction of Lower Eyelid Retraction with En Glove Placement of Porcine Dermal Collagen Matrix Implant

Cited by 12 publications

References 15 publications

Correction of Cicatricial Lower Eyelid Retraction and Entropion With Combined Scar Release, Hard Palate Graft, and Lateral Canthal Suspension

Correction of Cicatricial Lower Eyelid Retraction and Entropion With Combined Scar Release, Hard Palate Graft, and Lateral Canthal Suspension

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Buccal mucosal membrane graft for correction of cicatricial lower eyelid retraction

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