Free autogenous palmaris longus tendon transplantation in treatment of cicatricial ectropion

VernacularTitle:自体掌长肌腱游离移植辅助修复瘢痕性下睑外翻
Author: Haichen SONG ; Xiaowei WU ; Liang ZHENG ; Qichao JIAN
Publication Type:Journal Article
Keywords: Palmaris longus tendon; Graft; Cicatricial ectropion
From: Chinese Journal of Medical Aesthetics and Cosmetology 2013;(2):97-99
CountryChina
Language:Chinese
Abstract: Objective To investigate the method and effect of free autogenous palmaris longus tendon transplantation in the treatment of moderate and severe cicatricial ectropion.Methods The autogenous palmaris longus tendon was obtained through a small lateral proximal wrist band incision (lengths from 4 cm to 6 cm).The graft was properly sutured to the exposed tarsus and the attachments of inner and outer canthus.Local skin flap was rotated to cover the tendon and to repair the wound.Results Six man (8 eyes) with moderate and severe cicatricial ectropion were treated in our department,all case of ectropion were rectified after operation.The eyeballs were well contacted with lower eyelid and no recurrence of eetropion,epiphora and corneal exposure during 6 to 18 months' follow-up.The tension of the lower eyelid was abiding with satisfied effects.Conclusions The palmaris longus tendon is easy to obtain and there is no harm to the donor site.The cicatricial ectropion could be repaired with self-palmaris longus tendon transplantation with lasting effect and the recurrence rate is lower,which is well worthy popularizing.