Correction of Entropion From Stevens-Johnson Syndrome

Reconstruction of Upper Eyelid Defects Secondary to Malignant Tumors with a Newly Modified Cutler-Beard Technique with Tarsoconjunctival Graft

“…Contraction of hard palate grafts tends to be mild and can be compensated for by modest oversizing of the graft. Nasal septal chondromucosa is another alternative for rigid, mucosalized composite graft material and can be readily harvested from the nasal septum, offering abundant nonkeratinized epithelium that is well-tolerated [15]. Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16].…”

“…Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16]. Graft materials including auricular cartilage and nasal septum provide rigidity, but do not provide the conjunctival surface that is necessary for contact with the cornea [15]. Other allografts used in this surgery are Achilles tendon [17], irradiated aorta, and allogeneic irradiated tarsus [18], but in small numbers and with similar complications.…”

Reconstruction of Upper Eyelid Defects Secondary to Malignant Tumors with a Newly Modified Cutler-Beard Technique with Tarsoconjunctival Graft

“…Contraction of hard palate grafts tends to be mild and can be compensated for by modest oversizing of the graft. Nasal septal chondromucosa is another alternative for rigid, mucosalized composite graft material and can be readily harvested from the nasal septum, offering abundant nonkeratinized epithelium that is well-tolerated [15]. Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16].…”

“…Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16]. Graft materials including auricular cartilage and nasal septum provide rigidity, but do not provide the conjunctival surface that is necessary for contact with the cornea [15]. Other allografts used in this surgery are Achilles tendon [17], irradiated aorta, and allogeneic irradiated tarsus [18], but in small numbers and with similar complications.…”

Surgical management of chronic Stevens-Johnson syndrome

“…This not only repositions the lashes but also promotes ocular surface stability. In more severe cases, particularly involving the upper eyelid, a rigid graft of nasal septal cartilage with adherent mucosa may be used to structurally reinforce the lid and prevent re-inversion, as described by Callahan ( 41 ). Adjunctive procedures, such as eyelash resection or radiofrequency ablation are used in cases with persistent trichiasis ( 37 , 40 ).…”

Treatment of Eyelid Entropion: A Historical Review

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. [61][62][63] Arlt (Vienna, 1845) split the margin and recessed the anterior lamella, leaving the underlying tarsus bare. 64 Working at the world's first school for blind students in Paris, Landolt (1890) performed a 2-staged procedure involving initial subcutaneous mobilization of the anterior margin, with later externalization of the lash line at a higher level.…”

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. 61–63…”

Reconstruction of Upper Eyelid Defects Secondary to Malignant Tumors with a Newly Modified Cutler-Beard Technique with Tarsoconjunctival Graft

“…Contraction of hard palate grafts tends to be mild and can be compensated for by modest oversizing of the graft. Nasal septal chondromucosa is another alternative for rigid, mucosalized composite graft material and can be readily harvested from the nasal septum, offering abundant nonkeratinized epithelium that is well-tolerated [15]. Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16].…”

“…Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16]. Graft materials including auricular cartilage and nasal septum provide rigidity, but do not provide the conjunctival surface that is necessary for contact with the cornea [15]. Other allografts used in this surgery are Achilles tendon [17], irradiated aorta, and allogeneic irradiated tarsus [18], but in small numbers and with similar complications.…”

Surgical management of chronic Stevens-Johnson syndrome

“…This not only repositions the lashes but also promotes ocular surface stability. In more severe cases, particularly involving the upper eyelid, a rigid graft of nasal septal cartilage with adherent mucosa may be used to structurally reinforce the lid and prevent re-inversion, as described by Callahan ( 41 ). Adjunctive procedures, such as eyelash resection or radiofrequency ablation are used in cases with persistent trichiasis ( 37 , 40 ).…”

Treatment of Eyelid Entropion: A Historical Review

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. [61][62][63] Arlt (Vienna, 1845) split the margin and recessed the anterior lamella, leaving the underlying tarsus bare. 64 Working at the world's first school for blind students in Paris, Landolt (1890) performed a 2-staged procedure involving initial subcutaneous mobilization of the anterior margin, with later externalization of the lash line at a higher level.…”

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. 61–63…”

Reconstruction of Upper Eyelid Defects Secondary to Malignant Tumors with a Newly Modified Cutler-Beard Technique with Tarsoconjunctival Graft

“…Contraction of hard palate grafts tends to be mild and can be compensated for by modest oversizing of the graft. Nasal septal chondromucosa is another alternative for rigid, mucosalized composite graft material and can be readily harvested from the nasal septum, offering abundant nonkeratinized epithelium that is well-tolerated [15]. Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16].…”

“…Our opinion is that nasal septal chondromucosa may be preferable as an option for lower eyelid rather than upper eyelid reconstruction as the result of its rigidity and less potential for corneal epitheliopathy [16]. Graft materials including auricular cartilage and nasal septum provide rigidity, but do not provide the conjunctival surface that is necessary for contact with the cornea [15]. Other allografts used in this surgery are Achilles tendon [17], irradiated aorta, and allogeneic irradiated tarsus [18], but in small numbers and with similar complications.…”

Surgical management of chronic Stevens-Johnson syndrome

“…This not only repositions the lashes but also promotes ocular surface stability. In more severe cases, particularly involving the upper eyelid, a rigid graft of nasal septal cartilage with adherent mucosa may be used to structurally reinforce the lid and prevent re-inversion, as described by Callahan ( 41 ). Adjunctive procedures, such as eyelash resection or radiofrequency ablation are used in cases with persistent trichiasis ( 37 , 40 ).…”

Treatment of Eyelid Entropion: A Historical Review

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. [61][62][63] Arlt (Vienna, 1845) split the margin and recessed the anterior lamella, leaving the underlying tarsus bare. 64 Working at the world's first school for blind students in Paris, Landolt (1890) performed a 2-staged procedure involving initial subcutaneous mobilization of the anterior margin, with later externalization of the lash line at a higher level.…”

“…The posterior lamellar defect was left open, closed with an advancement conjunctival flap, or filled with grafts. 61–63…”