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Updated: Jun 27, 2026

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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
A technique to correct floppy eyelid syndrome.
Fabio M Abenavoli1, Giorgio Lofoco, Cristiano DeGaetano
1Department of Plastic Surgery, San Pietro Hospital, Fatebenefratelli, Rome, Italy.
Ophthalmic Plastic and Reconstructive Surgery
|November 27, 2008
Summary
This study successfully treated floppy eyelid syndrome using auricular conchal cartilage grafts to stabilize the upper eyelid. The innovative surgical technique provided lasting relief from ocular discomfort and conjunctivitis without relapses.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Eyelid Reconstruction
Background:
- Floppy eyelid syndrome (FES) is characterized by lax eyelid tissues, leading to instability and ocular surface issues.
- Current surgical treatments for FES aim to restore eyelid rigidity and proper anatomical positioning.
- Reinforcing the tarsal plate is a key strategy in managing FES effectively.
Observation:
- Three patients diagnosed with floppy eyelid syndrome were treated surgically.
- The surgical intervention involved the use of auricular conchal cartilage as an autograft.
- The cartilage was utilized to reinforce the lax tarsal plate of the upper eyelid.
Findings:
- All three surgical procedures were completed without complications.
- Postoperative outcomes were highly satisfactory, demonstrating effective eyelid stabilization.
- Patients experienced complete resolution of associated symptoms, including ocular discomfort and conjunctivitis.
- No recurrence of floppy eyelid syndrome was observed during the follow-up period.
Implications:
- Auricular conchal cartilage presents a viable and effective autograft material for upper eyelid tarsal reinforcement in FES.
- This surgical approach offers a durable solution for FES, improving patient quality of life.
- The technique may be considered a valuable addition to the surgical armamentarium for managing eyelid laxity disorders.
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