Lid Crease and Capsulopalpebral Fascia Repair in Congenital Entropion and Epiblepharon

Millman, Arthur L.; Mannor, Geva; Putterman, Allen M.

doi:10.1097/00002341-199503000-00025

Cited by 13 publications

(20 citation statements)

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“…If this fascia is not removed, it is very difficult to establish the eyelid crease and stabilize the attachment of the pretarsal skin to the tarsus. We have used this technique successfully in ten consecutive patients for the correction of entropion and triachiasis [1,2,6].…”

Section: Discussionmentioning

confidence: 99%

Correction of recurrent entropion in Chinese patients

Dong

2002

European Journal of Plastic Surgery

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We present a technique to correct recurrent entropion and trichiaisis in Chinese patients on the upper and lower eyelids using a rotation flap consisting of pretarsal skin and orbicularis oculus muscle, together with epicanthal Z-plasty. Ten patients (aged 15-29 years; 22 eyelids) underwent corrective surgery using this technique. They were followed up for 2-24 months. All patients achieved a good result except two (two eyelids), these were improved but still had minor trichiasis at the lower medial canthus. No disorderly growth of the eyelashes occurred. This technique effectively everts the eyelashes from the globe with minimal scarring and provides an acceptable long-term esthetic result suitable for the Chinese eyelid.

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Section: Discussionmentioning

confidence: 99%

Correction of recurrent entropion in Chinese patients

Dong

2002

European Journal of Plastic Surgery

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“…This lack of attachment of skin to the capsulopalpebral fascia has been demonstrated intraoperatively [17,18]. Millman et al [18] found that there was no cutaneous capsulopalpebral fascia attachment in 33 of 33 epiblepharon patients.…”

Section: Pathophysiology Of Epiblepharonmentioning

confidence: 93%

“…Noda et al [2] found that 46% of infants had epiblepharon which decreased to 2% in the [13][14][15][16][17][18] year age group. In a tertiary care hospital setting in Singapore, epiblepharon comprised 9.5% of the clinical cases of 623 patients who visited an oculoplastic surgery clinic [4].…”

Section: Epidemiologymentioning

confidence: 99%

“…A key factor in the pathogenesis of epiblepharon is the deficiency of the attachment of the eyelid retractor fibers to the skin (responsible for the eyelid crease), which allows the skin and muscle to roll upward [17][18][19]. This lack of attachment of skin to the capsulopalpebral fascia has been demonstrated intraoperatively [17,18].…”

Section: Pathophysiology Of Epiblepharonmentioning

confidence: 99%

“…Millman et al [18] addressed capsulopalpebral fascia incorporation for the correction of epiblepharon. A skin incision 3-4 mm below the lid margin in the lower eyelid is made.…”

Section: Lid Crease and Capsulopalpebral Fascia Repairmentioning

confidence: 99%

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