Clinical effect of surgical reconstruction of Ⅱ and Ⅲ degree cicatricial ectropion in 46 patients
10.11659/jjssx.1672-5042.201406009
- VernacularTitle:46例Ⅱ、Ⅲ度瘢痕性睑外翻手术治疗的临床分析
- Author:
Weijuan LI
;
Zeyuan LEI
;
Shaoliang WANG
;
Yiming ZHANG
;
Dongli FAN
- Publication Type:Journal Article
- Keywords:
cicatricial ectropion;
reconstructive surgery;
inner and external canthus;
full thickness skin graft
- From:
Journal of Regional Anatomy and Operative Surgery
2014;(6):596-598
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the detail of the surgery for cicatricial ectropion,and the the effect was investigated. Methods Based on 46 patients withⅡ,Ⅲdegree cicatricial ectropion admitted to our department,choose the junction of normal skin and scar tissue as the incision line according to the degree of ectropion and local situation,and to reserve and recover the orbicularis oculi muscle as possible. The released areas exceeded separately the external canthus and reached the level of eye fissure,take advantage of full-thickness skin graft to correct the parallel lines and make fixation to the eyelid ectropion fusion skin graft on external canthal ligament. Results After followed up for 6 months to 2 years,46 cases of eyelid skin grafts survived completely and eyelids were in good reduction,with none case of incomplete eyelid closure. Conclusion Choose the surgical incision and the released areas in a proper way to reserve the structural integrity of orbicu-laris muscle and make skin graft fixation to inner and external canthal skin can prevent effectively the recurrence of ectropion and improve surgical progress.
