Treatment of traumatic lower eyelid retraction with strip-type scar tissue flap (with video)
10.3760/cma.j.cn114453-20200424-00242
- VernacularTitle:条状瘢痕组织瓣悬吊法修复外伤性下睑退缩（附视频）
- Author:
Chang ZHANG
1
;
Lehao WU
;
Xu ZHOU
;
Jiaqi WANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院面颈整形美容中心，北京 100144
- Keywords:
Eyelids;
Ectropion;
Surgical flaps;
Cicatrix;
Ophthalmologic surgical procedures;
Repair and reconstruction;
Lower eyelid retraction
- From:
Chinese Journal of Plastic Surgery
2022;38(2):186-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a new method of repairing mild to moderate traumatic lower eyelid retraction with strip-type scar tissue flap.Methods:From January 2017 to January 2020, patients with both mild to moderate traumatic lower eyelid retraction and periorbital scars were retrospectively summarized. For those patients, whilst the superficial layer of scars were removed and the deep tissue was processed into a strip-type scar tissue flap. The retracted lower eyelid was lifted by suspending the strip-type scar tissue flap to the canthus.Results:At total of 26 patients (26 eyes) with traumatic lower eyelid retraction received the surgery, including 14 males and 12 females, aged 15-67 years. Based on the location of scars, patients were divided into 13 cases of lower eyelid retraction combined with zygomatic scars, 9 cases with upper eyelid scars and 4 cases with temporal scars. All wounds healed in one stage and the post-operative location of lower eyelid margin was measured. With six to twelve months follow-up, the retraction of lower eyelid was improved significantly, with no ectropion and entropion. There were no serious complications except one case of mild lagophthalmos and three cases of dry eye.Conclusions:Characterized by suspending the retracted lower eyelid with inherent scar tissue without additional incision or trauma, the method of utilizing strip-type scar flap is effective and practical for correcting mild to moderate traumatic lower eyelid retraction.
