Spastic-Entropion Correction by Orbicularis Transplantation*

Wheeler, John M.

doi:10.1016/s0002-9394(39)94207-8

Cited by 43 publications

(9 citation statements)

References 2 publications

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“…Horizontal laxity can be addressed via a lateral tarsal strip procedure, 18 a fullthickness partial eyelid resection, 27 or tightening of the inferior crus of the lateral canthal tendon. 28 An overriding pretarsal orbicularis muscle can be addressed by tightening the orbicularis muscle, 29 resection of the orbicularis, 30,31 direct suture fixation of the orbicularis muscle, 32,33 or shortening the eyelid and suturing the skin edge to the tarsus. 18 Spinelli et al describe their technique of tightening the suborbicularis septum and lateral canthus, which resulted in successful correction of entropion in 409 eyelids.…”

Section: Involutional Entropionmentioning

confidence: 99%

Repair of the Malpositioned Lower Lid

2017

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Complications from surgical approaches to the orbit can be associated with debilitating morbidity and negative surgical outcomes. The surgeon must be familiar with the different factors that predispose a patient to these complications and be facile with techniques to avoid them. In this article, the authors discuss the surgical anatomy of the lower eyelid, as well as various complications that result from eyelid surgery, including lower lid retraction, ectropion, entropion, canthal malposition, and midface descent. They also discuss various management techniques that are employed in addressing these complications.

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Section: Involutional Entropionmentioning

confidence: 99%

Repair of the Malpositioned Lower Lid

2017

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“…Procedures have also been developed to prevent override of the lower tarsal plate. 24,25 More recently, many clinicians have concentrated on correcting several potential causes of entropion simultaneously with multifaceted procedures. 11,26 -28 Nowinski 11 described a combined procedure of extirpation of the preseptal orbicularis oculi muscle with repair of the lower eyelid retractors and, in cases with horizontal laxity, a lateral tarsal strip.…”

Section: Treatment Of Involutional Entropionmentioning

confidence: 99%

Correction of Involutional Entropion by Horizontal Tangential Wedge Excision of the Tarsus

Lesavoy¹,

Gomez-Garcia²,

Sheng³

et al. 2006

Annals of Plastic Surgery

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Involutional entropion, a condition in which the lower eyelid margin is rotated inward, occurs often in elderly people. It can result in corneal and conjunctival irritation by the inverted eyelashes. The pathophysiology has been attributed to multiple factors, including attenuation of the tarsal plate with age, enophthalmus occurring with aging, decreased action of the inferior palpebral muscle, and the overridge of the preseptal orbicularis oculi. Many surgical options have been described for the treatment of involutional entropion. We present an innovative surgical procedure for correction of involutional entropion by a horizontal tangential wedge excision of the tarsal plate.

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“…Several surgical treatment options have been described for entropion repair, each aimed at correcting one or more of the mechanisms just named. [1][2][3][4][5] Each of the proposed procedures inevitably meets with variable success in the hands of different surgeons. 6,7 While the authors of this study strongly support the use of combined techniques that address the major proposed etiologic mechanisms, we present this novel technique as a potential alternative that may be suitable for selected patients, especially those concerned about their cosmetic outcome.…”

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confidence: 99%

Small-Incision Lower Lid Entropion Repair: Description of a Novel Procedure

Ramey¹,

Woodward²,

Rose³

2014

Am J Cosmet Surg

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Introduction: To describe a novel technique for lower lid entropion repair using a small incision with minimal dissection. To present surgical indications, initial outcomes, and complications associated with this technique. Materials and Methods: The small-incision lower lid entropion repair technique is described. A retrospective chart review of the first 5 consecutive patients undergoing this procedure in 2011 was conducted at the Dean Clinic of Madison, Wis. The medical records of these adult patients undergoing the small-incision repair were reviewed for surgical outcome, complications, and reoperation period, if applicable. Results: Of the first 5 consecutive patients undergoing this technique for small-incision entropion repair in 2011, all patients experienced surgical success. One patient experienced recurrence 6 months after the operation, following cataract surgery. Conclusions: This small-incision procedure is a safe and fast technique suitable for selected cases of involutional lower lid entropion.

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Spastic-Entropion Correction by Orbicularis Transplantation*

Cited by 43 publications

References 2 publications

Repair of the Malpositioned Lower Lid

Repair of the Malpositioned Lower Lid

Correction of Involutional Entropion by Horizontal Tangential Wedge Excision of the Tarsus

Small-Incision Lower Lid Entropion Repair: Description of a Novel Procedure

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