Double-opposed Z plasty for upper eyelid entropion correction.

Abstract:

:Recurrent cicatricial entropion of the upper eyelid creates a surgical problem. We present a 53-year-old patient with complicated postsurgical fibrotic and scarred upper eyelid entropion. Double-opposed Z-plasty incisions were used at the anterior approach. The outer Z incision included the skin and the orbicularis oculi muscle underneath, whereas the inner Z incisions included the tarsal plate and conjunctiva, in a mirror-image fashion. Two goals were achieved, i.e., release of the vertical traction vector of the conjunctiva and balance of forces between the anterior and posterior layers of the lid. Symptomatic and clinical improvement was observed, and there was no recurrence 2 years after surgery.

journal_name

Ann Plast Surg

authors

Tamir G,Van der Meulen JC,Robinpour M,Hauben DJ

doi

10.1097/00000637-199309000-00013

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

271-4

issue

3

eissn

0148-7043

issn

1536-3708

journal_volume

31

pub_type

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