Reconstruction of Lower Eyelid Retraction or Ectropion Using a Paranasal Flap

Xue, Chunyu; Dai, Haiying; Li, Li; Wang, Yicun; Cao, Yang; Li, Junhui; Xing, Xin

doi:10.1007/s00266-011-9855-0

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…Although a number of different techniques, such as local or regional flaps, free flaps, and skin graft, have been utilized to restore the superior eyelid in recent studies, outcomes following these techniques have varied. 9 , 15 , 21 , 23 , 26 Full-thickness skin grafts of upper eyelid skin, postauricular or supraclavicular skin, for example, may be utilized if the mucosa layer has an abundant vascular supply. However, it does not give quite as good of a color and thickness match as a flap.…”

Section: Discussionmentioning

confidence: 99%

The Use of Composite Flaps in the Management of Large Full-Thickness Defects of the Lower Eyelid

Fang

Yang

Zhang³

et al. 2016

Medicine

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To describe a modified surgical procedure that uses a combination of the tarsoconjunctival flap, orbicularis myocutaneous advancement flap, and paranasal-island flap to correct extensive full-thickness lower eyelid defects in functioning eyes.From May 2010 to December 2013, a total of 15 patients had reconstructive surgeries of large to giant lower eyelid defect, with an average 19-month follow-up. The musculocutaneous flaps were harvested from both orbicularis and paranasal regions and clinical outcomes were recorded and analyzed.No major complications were observed in any of the patients. All the patients showed aesthetic eyelid contour, good color, and texture match as well as no obvious scar formation. The mean Marginal Reflex Distance-2 measured 4 months after surgery was 4.9 ± 0.4 mm.Reconstruction of a large defect in the lower eyelid with a tarsoconjunctival flap and the composite neighboring musculocutaneous flaps is a reliable and reproducible method. With proper design and well-executed precision, excellent functional and aesthetic results can be achieved by this elegant procedure without any major complications.

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Section: Discussionmentioning

confidence: 99%

The Use of Composite Flaps in the Management of Large Full-Thickness Defects of the Lower Eyelid

Fang

Yang

Zhang³

et al. 2016

Medicine

Self Cite

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“…Описана также методика устранения ретракции и выворота нижнего века у 67 пациентов с помощью параназального лоскута [50]. После тщательной мобилизации кожи и конъюнктивы в зоне контрактуры нижнего века в соответствии с величиной дефекта кожи формировали параназальный лоскут на верхней сосудистой ножке с ипсилатеральной стороны.…”

Section: методы хирургического лечения выворотовunclassified

Modern surgical methods of ectropion treatment

Nuraeva

Булатовна²

2017

Ophthalmology Reports

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“…Ectropion compromises the aesthetic appearance and can also lead to hypophasis. 7,8 For the treatment of ectropion, surgical management is required as the first-line treatment for its correction, irrespective of the cause of ectropion. 6 There are several surgical approaches for managing defects of the lower eyelid.…”

Section: Introductionmentioning

confidence: 99%

Surgical Correction of Ectropion: Comparison Between Full Thickness Skin Grafts and Local Flaps

Kiran

Khan

Hyder

et al. 2022

PAFMJ

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Objective: To compare the effectiveness of two reconstruction techniques, i.e., full-thickness skin graft and local flap, for patients undergoing reconstructive surgery for ectropion repair. Study Design: Prospective comparative study. Place and Duration of Study: Department of Plastic & Reconstructive Surgery, Dr Ruth K.M. Pfau Civil Hospital Karachi, from Feb to Aug 2020. Methodology: The study was conducted after acquiring approval from the Institutional Review Board of Dow University of Health Sciences. Patients advised repairing ectropion were admitted to the ward prior to a day or night of the procedure. The consultant surgeon decided on the operative management, either using a full-thickness skin graft or a local flap, depending on the type of ectropion. Results: 60 patients were recruited for the study, with 30 patients in each group. At follow-up of two weeks, one month, and three months’ skin colour match and pliability were significantly better in patients who received local flap than those treated with a full-thickness skin graft. Out of 30, 2 (6.7%) patients developed ectropion recurrence when they received full-thickness skin graft coverage, whereas ectropion recurrence was not observed in patients managed with local flap. Conclusion: Local flap appears to be more effective than full-thickness skin graft in achieving excellent aesthetic effects in patients who underwent correction of ectropion.

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Reconstruction of Lower Eyelid Retraction or Ectropion Using a Paranasal Flap

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.

Cited by 7 publications

References 15 publications

The Use of Composite Flaps in the Management of Large Full-Thickness Defects of the Lower Eyelid

The Use of Composite Flaps in the Management of Large Full-Thickness Defects of the Lower Eyelid

Modern surgical methods of ectropion treatment

Surgical Correction of Ectropion: Comparison Between Full Thickness Skin Grafts and Local Flaps

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