Total Lower Lid Support with Auricular Cartilage Graft

Hashikawa, Kazunobu; Tahara, Shinya; Nakahara, Minoru; Sanno, Toshiaki; Hanagaki, Hirofumi; Tsuji, Yoriko; Terashi, Hiroto

doi:10.1097/01.prs.0000153233.87258.5d

Cited by 32 publications

(25 citation statements)

References 19 publications

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“…Hashikawa and coworkers [10] described the use of auricular cartilage for total lower lid support. A harvested antihelical cartilage strip is grafted with attachments to the medial canthal ligament, and lateral orbital rim, without resting on the orbital rim.…”

Section: Lower Eyelid Repairmentioning

confidence: 98%

Upper and lower eyelid reconstruction: the year in review

Rafii

Enepekides

2006

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Section: Lower Eyelid Repairmentioning

confidence: 98%

Upper and lower eyelid reconstruction: the year in review

Rafii

Enepekides

2006

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…13,14 Conchal cartilage is relatively abundant and it is not as invasive to harvest as other donor sites. The natural curve of the conchal cartilage makes it a good match for the convexity of the eyelid.…”

Section: Discussionmentioning

confidence: 99%

Upper Eyelid Coloboma Repair Using Accessory Preauricular Cartilage in a Patient With Goldenhar Syndrome: Technique Revisited

Sinkin

Yi²,

Wood³

et al. 2017

Ophthalmic Plastic &Amp; Reconstructive Surgery

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“…Even though the lifting up power of the eyelid was very strong, it was very common to observe immobility of the lower eyelid during a down gaze [17,18]. Cosmetically after the cartilage insertion, the lower eyelid appeared to be slightly thicker, compared with the other normal side [17,18]. Since rather large amount of the tissue is harvested from the external ear, it is inevitable to look cosmetically disfigured.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the transcutaneous approach replaced entire length of the lower eyelid with auricular cartilage [16,17]. Even though the lifting up power of the eyelid was very strong, it was very common to observe immobility of the lower eyelid during a down gaze [17,18].…”

Section: Discussionmentioning

confidence: 99%

How to Repair the Lower Eyelid Retraction, Resulting from the Primary Surgery for Epiblepharon?

Asamura

Matsushima²,

Takahashi³

et al. 2013

Anaplastology

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A 23 year-old-woman underwent the primary surgery of the bilateral epiblepharon at 5 years of age. She noticed excessive whiteness in the right sclera at 17 years of age. Five years later, she finally decided to go through the corrective surgery as a young mature lady. In the primary position of the gaze, measurement of the distance from the lower limbus of the right cornea was approximately 2 mm. We experienced a corrective procedure of the right lower eyelid retraction after the primary surgery for epiblepharon. The incision in the lower eyelid was made along the scar of the previous surgery. Subsequently connection between the tarsus and the lower eyelid retractors were set free. The harvested auricular cartilage was placed between the lower edge of the tarsus and the lower eyelid retractors. The cartilage was fixed to edge of the tarsus and the posterior layer of the lower eyelid retractors with nylon sutures, respectively. One year after the repair, there was no gross difference of the distance between the lower margin of the cornea limbus and eyelid in the either side. She appeared to extremely happy with the result. In our surgical technique, the lengthening the posterior layer of the lower eyelidretractors with the small amount of auricular cartilage was accomplished functionally and cosmetically nice outcomes.

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Total Lower Lid Support with Auricular Cartilage Graft

Cited by 32 publications

References 19 publications

Upper and lower eyelid reconstruction: the year in review

Upper and lower eyelid reconstruction: the year in review

Upper Eyelid Coloboma Repair Using Accessory Preauricular Cartilage in a Patient With Goldenhar Syndrome: Technique Revisited

How to Repair the Lower Eyelid Retraction, Resulting from the Primary Surgery for Epiblepharon?

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