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Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique
Joint Authors
Tsai, Chieh-Chih
Kau, Hui-Chuan
Liu, Catherine Jui-Ling
Chang, Yu-Fan
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To evaluate the efficacy and complications of a novel surgical technique for cicatricial lower lid ectropion that uses a vertical-to-horizontal (V-to-H) rotational myocutaneous flap procedure (Tsai procedure).
Methods.
We performed the V-to-H rotational myocutaneous flap procedure on 20 eyelids in 20 patients with mild to moderate cicatricial lower lid ectropion.
A vertical myocutaneous flap was created from the anterior lamella of the vertical pedicle in the lateral third of the lower eyelid.
Following a horizontal relaxing incision from the base of the flap, a vertical myocutaneous flap was created and rotated to horizontal.
Two patients with combined cicatricial ectropion and paralytic lagophthalmos simultaneously underwent additional lateral tarsorrhaphy.
Results.
After a minimum follow-up period of 6 months, all patients showed good anatomical and functional improvement with decreased dependence on topical lubricants and a satisfactory cosmetic appearance.
Two patients with combined cicatricial and paralytic ectropion had mild residual asymptomatic lagophthalmos.
No patients required further revision surgery and there were no complications or recurrence.
Conclusion.
The V-to-H rotational myocutaneous flap technique was an effective and simple one-stage procedure for correcting cicatricial lower lid ectropion.
It lengthened the anterior lamella and tightened horizontal eyelid laxity without the need for a free skin graft.
American Psychological Association (APA)
Chang, Yu-Fan& Tsai, Chieh-Chih& Kau, Hui-Chuan& Liu, Catherine Jui-Ling. 2017. Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique. BioMed Research International،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139185
Modern Language Association (MLA)
Chang, Yu-Fan…[et al.]. Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique. BioMed Research International No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1139185
American Medical Association (AMA)
Chang, Yu-Fan& Tsai, Chieh-Chih& Kau, Hui-Chuan& Liu, Catherine Jui-Ling. Vertical-to-Horizontal Rotational Myocutaneous Flap for Repairing Cicatricial Lower Lid Ectropion: A Novel Surgical Technique. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1139185
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139185