Korean Leprosy Bulletin  2008;41(1):47-53

Reappraisal of the lateral tarsal strip in the treatment of paralytic ectropion.

Sung Yul AHN 1 ; Hyang Joon PARK

Affiliations

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Keywords

Ectropion; Lateral tarsal strip; Kuhnt-Szymanowski procedure

Country

Republic of Korea

Language

Korean

Abstract

The imbalance between paralyzed orbicularis oculi and normally functioning its antagonists such as the levator of the upper lid and the capsulopalpebral fascia of the lower lid in patients with leprosy causes ectropion, eyelid retraction and lagophthalmos. There are a lot of surgical methods to manage the ectropion and retraction of the lower lid including lateral canthoplasty, lateral canthopexy, spacer graft, canthal sling, medial tarsorraphy as well as temporal fascia transfer. In this study, we applied the lateral tarsal strip combined with Kuhnt- Szymanowski procedure to thirty-two patients with paralytic ectropion and this method was proven to be very effective in correcting the abnormal conditions.