Efficacy of porcine acellular dermal matrix in the management of lower eyelid retraction: case series and review of the literature

McGrath, Lindsay A.; Hardy, Thomas G.; McNab, Alan A.

doi:10.1007/s00417-020-04660-5

Cited by 12 publications

(9 citation statements)

References 20 publications

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“…[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%

“…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 17–19 . 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 …”

Section: Discussionmentioning

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%

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

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“…It can be processed into various thicknesses (1-4 mm) to meet various requirements. Therefore, the clinical application of Xeno-ADM has become increasingly extensive [18]. Some research [19] compared bovine (BADM) and porcine (PADM) cellular dermal matrices; BADM is inherently stronger than PADM at equivalent thicknesses and considerably stronger at increased thicknesses, significantly higher rates of skin erythema, and a trend towards higher complication rates (including implant loss, acellular dermal matrix loss, and reoperation rates) with PADM [20,21].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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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.

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“…Mild cases may be resolved by tightening the lateral canthal tendon 60 . Moderate cases with septal scarring require a middle lamellar spacer graft such a acellular dermal matrix, 61 synthetic collagen matrix (M. Khashik, D.G. Ezra, personal communication, 2022), donor sclera or autologous hard palate graft 62 in conjunction with SOOF suspension and horizontal lid tightening.…”

Section: Surgerymentioning

confidence: 99%

The Tear Trough and Lower Lid Folds: Etiology and Implications for Treatment

Ting

Ezra

2023

International Ophthalmology Clinics

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Efficacy of porcine acellular dermal matrix in the management of lower eyelid retraction: case series and review of the literature

Cited by 12 publications

References 20 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

The Tear Trough and Lower Lid Folds: Etiology and Implications for Treatment

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