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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Temporary ectropion therapy by adhesive taping: a case study.

Thomas Schrom¹, Anke Habermann

¹Department of Oto-Rhino-Laryngology, Helios Clinics Bad Saarow, Germany. thomas.schrom@gmx.de

Head & Face Medicine

|July 22, 2008

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Adhesive taping offers a simple, reversible solution for temporary ectropion in facial palsy patients with unclear prognoses. This method effectively reduces tearing and is well-tolerated, providing temporary relief until definitive treatment can be determined.

Area of Science:

Ophthalmology
Facial Nerve Disorders
Eyelid Surgery

Background:

Surgical correction of paralytic ectropion is typically irreversible, posing challenges for cases with uncertain facial nerve recovery.
Temporary ectropion management requires methods that are easily applied and reversible.
Adhesive taping presents a novel, non-invasive approach for temporary ectropion correction.

Purpose of the Study:

To evaluate the efficacy and tolerability of adhesive strip application for temporary correction of paralytic ectropion in peripheral facial paresis.
To provide a reversible treatment option for patients awaiting prognosis clarification.

Main Methods:

Ten patients with peripheral facial paresis and paralytic ectropion were treated using "Steri-Strips" (45 x 6.0 mm).

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The adhesive strips were applied to the lower eyelid and adjacent zygomatic skin.

Symptom improvement was assessed using the visual analogue scale (VAS) and clinical evaluation of the lacrimal point.

Main Results:

Nine out of ten patients reported significant symptom improvement, particularly in tearing (VAS median = 8).
Cosmetic impairment from the tape was minimal (VAS median = 2.5).
The treatment was generally well-tolerated, with only one case of mild skin redness.

Conclusions:

Adhesive taping is a simple, patient-performable, and reversible method for temporary management of paralytic ectropion.
It serves as an effective interim solution until the prognosis of facial paresis is clear, avoiding premature irreversible surgery.
This approach addresses the need for non-invasive, temporary interventions in cases of potentially reversible facial nerve damage.