The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid.
- Author:
Ryuichi AZUMA
1
;
Shimpo AOKI
;
Tetsushi AIZAWA
;
Masahiro KUWABARA
;
Tomoharu KIYOSAWA
Author Information
- Publication Type:Original Article
- Keywords: Eyelids; Facial paralysis; Ectropion; Reconstructive surgical procedures
- MeSH: Ankle; Ectropion*; Eyelids*; Facial Paralysis; Follow-Up Studies; Humans; Reconstructive Surgical Procedures; Recurrence; Reoperation; Skin; Surgical Procedures, Operative; Traction
- From:Archives of Plastic Surgery 2018;45(2):135-139
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Static reconstruction surgery that tightens the tension of the inferior tarsus, thereby raising the lax lower eyelid, is a common treatment for paralytic ectropion of the lower eyelid. We present one such operative procedure, in which an orbicularis oculi muscle flap was used. METHODS: The surgical technique involves partial resection of the tarsus and the skin, as well as a superior-based orbicularis oculi muscle flap that is sutured to the firm tissue present on the Whitnall tubercle. The muscle flap is approximately 7 mm in width and 15 mm in length, with a superior pedicle that is attached to the tarsus at the medial point of the resected tarsus. The procedure results in contact between the ocular surface and the lower eyelid. RESULTS: The procedure was performed in 11 patients with lower eyelid ectropion due to facial paralysis. Ten cases showed a favorable outcome following surgery, with stable results seen over an average follow-up period of 4.5 years. In one case, recurrence of ectropion was observed 2 months after surgery due to an insufficient correction, and the patient required repeat surgery. CONCLUSIONS: The orbicularis oculi muscle flap was an effective means of suspension and was able to maintain long-term traction tension. This procedure can therefore be considered a favorable treatment option for lower eyelid ectropion due to facial paralysis.
