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Simultaneous Lateral Tarsal Strip and Medial Spindle Procedures for Cicatricial Ectropion
Lindsey Goddard1, Cameron Chesnut2,3
1Department of Dermatology, Loma Linda University, Loma Linda, California.
Background:
Lateral tarsal strip (LTS) and medial spindle (MS) procedures are surgical techniques used to address cicatricial ectropion.
Objective:
To evaluate the clinical characteristics and efficacy of simultaneous LTS and MS procedures for repair of cicatricial ectropion occurring after dermatologic surgeries.
Methods:
A retrospective review of all cases of symptomatic, cicatricial, lateral, and medial punctal ectropion in 1 author's (C.C.) practice over 2 years was performed. Those resulting from dermatologic surgical procedures and repaired with simultaneous LTS and MS procedures were included.
Results:
Fifty-six tumors involving the lower eyelid were considered highly at risk and treated with Mohs micrographic surgery and reconstruction in the senior author's practice during the review period, resulting in 3 (5.3%) cases of cicatricial ectropion. Five additional cases resulted from Mohs surgery and 7 resulted from excisions of pigmented lesions, all performed by other surgeons. One postoperative complication (6.7%) of undercorrection required reoperation, with initial surgical success rate being 93.3% and overall surgical success being 100% after the single reoperation.
Conclusion:
Simultaneous LTS and MS are useful procedures for dermatologic surgeons yielding high surgical success and a low complication rate for correction of medial and lateral cicatricial ectropion with punctal eversion.
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