Correction of lower eyelid retraction with hard palate graft in the anophthalmic socket

Ding, Jingwen; Ma, Xiuli; Yue, Xin; Li, Dongmei

doi:10.1016/j.jcjo.2018.01.031

Cited by 13 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

“…[17][18][19] In addition, it should have the ability to promote the integration of adjacent different tissues while minimizing inflammation and improving mucosal epithelialization at the conjunctival margin. 20,21 We prefer the hard palate mucosa as an autogenous graft, which provides long-term stability of lower lid elevation with structural support and mucosal surfaces mimicking conjunctiva, 16 additionally, it is abundant, easy to access, well tolerated, and resistant to contraction. Larsen et al 17 demonstrated the hard palate mucosal used to repair lower lid retraction after transplantation still maintains native epithelial morphology and provides long-term support.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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

View full text Add to dashboard Cite

show abstract

“…The autologous hard palate mucosa is similar in hardness and thickness to the tarsal plate and has a mucosal surface, which makes it a good replacement for tarsal plate materials, with no risk of rejection, but there will be more persistent sticky secretions in the eyes [5]. Commonly used autologous cartilage tissues are ear cartilage and nasal septal cartilage mucosa [6].…”

Section: Discussionmentioning

confidence: 99%

Clinical observation on healing of tarsal plate defect after reconstruction with xenogeneic acellular dermal matrix

et al. 2022

View full text Add to dashboard Cite

Objective To evaluate the safety, function, and cosmetic outcome of eyelid reconstruction using a xenogeneic acellular dermal matrix as a tarsal plate replacement in the repair of 50 to 100% eyelid defects following excision of large malignant tumours. Methods A retrospective, non-comparative, interventional study of 21 eyes was performed over 26 months. Fourteen patients were female and seven were male. In all cases, a xenogeneic acellular dermal matrix was used for total or subtotal replacement of the tarsal plate. The central vertical height of the palpebral fissure was measured immediately after eyelid margin incision and at 1 and 6 months postoperatively. Results In patients who underwent surgery, the mean palpebral fissure height (PFH) was not significantly different between immediately and 1 month after incision (8.10 ± 0.562 mm vs 8.17 ± 0.577 mm, respectively; P > 0.05). After 6 months, PFH was 8.26 ± 0.605 mm, which was significantly different from that immediately after incision (P < 0.05). After 6 months of follow-up, all patients had a good aesthetic appearance after eyelid reconstruction, with no obvious graft dissolution or rejection, normal eyelid activity, and normal opening, closing, and lifting function. None of the 21 patients experienced tumour recurrence during postoperative follow-up. Conclusion The xenogeneic acellular dermal matrix was a successful tarsal plate replacement. This material is readily available, and a second surgical site is avoided. The xenogeneic acellular dermal matrix is considered a promising alternative material for tarsal replacement in future generations.

show abstract

“… 8 , 11 In severe cases, spacer grafts are often used to push the lower eyelid margin upwards and to prevent it from dropping. 12 , 13 , 14 , 15 Spacer materials include autografts such as hard‐palate mucosa and ear cartilage; allografts including preserved dermis (AlloDerm ® , Surederm ® ) and sclera; and synthetic grafts including polytetrafluoroethylene (Gore‐Tex) and porous polyethylene (Medpor). 16 , 17 , 18 , 19 , 20 Considering the ethical problems and probable graft rejection in children, we adopted the technique of lower eyelid retractor recession without grafting even in severe cases.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of surgery for epiblepharon accompanied with lower eyelid retraction secondary to buphthalmos in children

Cao

Wang

et al. 2021

Pediatric Investigation

View full text Add to dashboard Cite

Importance: In cases of epiblepharon with lower eyelid retraction secondary to glaucoma, correcting epiblepharon alone is ineffective. Combined surgery should be performed to obtain satisfactory outcomes. Objective: To investigate outcomes after surgery to correct epiblepharon with lower eyelid retraction secondary to buphthalmos in children. Methods: A retrospective analysis of six eyes in four patients was performed included lower lid retractor recession combined with marginal rotation with tarsal fixation. The margin reflex distance-2, lagophthalmus, resolution of clinical symptoms, and complications were assessed during 6 to 12 months of follow-up. Results: In all cases, epiblepharon and lagophthalmus were corrected, symptoms of photophobia and epiphora were relieved, and the corneal epithelium was repaired. The margin reflex distance-2 decreased and remained normal during the follow-up period, but slightly regressed within 6 months postoperatively. Interpretation: Epiblepharon caused by buphthalmos in children is often associated with lower eyelid retraction. Lower lid retractor recession combined with marginal rotation with tarsal fixation fundamentally solves the problems of high eyelid tension, lower eyelid retraction, and epiblepharon and reduces the recurrence rate.

show abstract

Correction of lower eyelid retraction with hard palate graft in the anophthalmic socket

Cited by 13 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

Clinical observation on healing of tarsal plate defect after reconstruction with xenogeneic acellular dermal matrix

Outcomes of surgery for epiblepharon accompanied with lower eyelid retraction secondary to buphthalmos in children

Contact Info

Product

Resources

About