The Lateral Tarsal Strip Mini-Tarsorrhaphy Procedure

Vagefi, M. Reza; Anderson, Richard L.

doi:10.1001/archfaci.11.2.136

Cited by 18 publications

(13 citation statements)

References 13 publications

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“…[11] In 2009, Anderson further modified the lateral tarsal strip to include a mini-tarsorrhaphy, to address upper eyelid overhang and lower eyelid imbrication in cases involving concurrent upper eyelid laxity. [12] In 2010, Igal Leibovitch described using a singlestitch lateral wedge technique to address lower eyelid entropion.…”

Section: Resultsmentioning

confidence: 99%

A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection

Moore

Shipchandler

et al. 2018

American Journal of Otolaryngology

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Section: Resultsmentioning

confidence: 99%

A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection

Moore

Shipchandler

et al. 2018

American Journal of Otolaryngology

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“…Full-thickness eyelid resection at different locations has been used to correct the lid malposition and lack of tone [ 6 ]. However, wedge excisions can induce untoward results such as lid margin notching, scar contracture of anterior and/or posterior lamella, phimosis, and ectropion recurrence [ 7 ]. Alternatively, a vertical flap can be harvested from the same redundant eyelid segment and subsequently inset in a horizontal position at the level of the lid-cheek junction [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…LTS is perhaps the most popular and repeatedly used surgical procedure to manage significant ectropion in a large variety of clinical settings [ 7 , 13 ]. This technique, performed under local or general anesthesia, provides not only reliable outcomes among surgeons, but also high satisfaction among patients.…”

Section: Discussionmentioning

confidence: 99%

“…By producing horizontal shortening, this procedure enhanced the eyelid tone and anatomic position of the lateral canthus [ 1 ]. In addition, by de-epithelializing, the mucocutaneous bridge between the lateral end of the upper tarsus and upper cut edge of the lateral canthotomy helps establish a sharp lateral canthal angle while preventing the upper lid overhang and lower lid imbrication (Figure 4B - 4C ) [ 7 ]. Unfortunately, LTS did not fully reverse the patient’s eyelid eversion and punctum ectopic location (Figure 1 ).…”

Section: Discussionmentioning

confidence: 99%

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Management of Severe Multifactorial Eyelid Ectropion With Lateral Tarsal Strip Procedure and Full-Thickness Skin Graft

Medina¹

2022

Cureus

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Secondary ectropion is a relatively common anatomo-functional abnormality of the lower eyelids. They can be seen in numerous clinical settings and generate disabling symptoms and even severe complications such as corneal ulceration, globe perforation, and blindness. Based on their etiology, cases of secondary ectropion are grouped into involutional, paralytic, cicatricial, and mechanical. Multiple techniques have been developed to treat specific abnormalities associated with this condition. Therefore, a comprehensive local assessment is crucial to select one or more surgical procedures for each particular situation. This report describes a patient with multiple contributing factors for severe ectropion of left lower eyelid treated with lateral tarsal strip procedure and full-thickness skin graft. Other surgical options and their indications are briefly reviewed.

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“…Adequate placement of a suture inside the orbit is technically challenging and may lead to poor results if this suture tears out. 8,9 Suturing to the outer orbit periosteum can lead to gapping between the lower lid and the globe. Difficult visualization of the needle 10 and attempts to grasp the inner periosteum places the globe at risk.…”

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confidence: 99%

Paralytic Ectropion Treatment with Lateral Periosteal Flap Canthoplasty and Introduction of the Ectropion Severity Score

Korteweg¹,

Stenekes²,

Zyl³

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Background:Paralytic ectropion patients suffer from impairment of function and appearance of the lower eyelid and are at high risk of developing an exposure keratitis. A canthoplasty procedure can reduce the horizontal eyelid laxity and elevate the lower eyelid. We used a periosteal flap from the outer orbit to create a new canthal ligament. This study investigates the long-term outcomes of this technique.Methods:Cross-sectional outcome study in which 30 cases of paralytic ectropion are treated with a lateral periosteal flap canthoplasty after adequate eyelid shortening. At the desired canthal height, a periosteal flap from the outer temporal orbital rim is mobilized around the rim and sutured in a double-breasted fashion to a tarsal strip. Effect of the operation is measured by comparing preoperative and postoperative photographs for signs of ectropion. For this purpose, a new photograph-based scoring method [the Ectropion Severity Score (ESS)] was developed and evaluated.Results:The ESS proved to be reliable and sensitive to the presence of ectropion. Significant improvement of the ectropion sequelae was measured after a mean follow-up period of 2 years. In 3 cases (13%), a revision procedure was necessary because of relapse of lower eyelid sagging after a mean time of 1.9 years. In these cases, the periosteal flap could be reused.Conclusions:The ESS is a useful instrument to score the severity of paralytic ectropion. The periosteal flap canthoplasty is an effective procedure, with durable results in paralytic ectropion patients. The same periosteal flap can be used in a revision procedure.

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The Lateral Tarsal Strip Mini-Tarsorrhaphy Procedure

Cited by 18 publications

References 13 publications

A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection

A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection

Management of Severe Multifactorial Eyelid Ectropion With Lateral Tarsal Strip Procedure and Full-Thickness Skin Graft

Paralytic Ectropion Treatment with Lateral Periosteal Flap Canthoplasty and Introduction of the Ectropion Severity Score

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