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Involutional entropion: a simple and stable repair.

R J Siegel1

  • 1Division of Plastic Surgery, Kaiser Moanalua Hospital, Honolulu, Hawaii.

Plastic and Reconstructive Surgery
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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A novel surgical technique uses ear cartilage to repair involutional entropion, a condition where the eyelid margin turns inward. This method effectively restores eyelid structure, offering a stable and simple solution for patients.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Oculoplastics

Background:

  • Involutional entropion is characterized by the inward rolling of the eyelid margin.
  • Age-related changes, including tarsal plate softening and shrinkage, contribute to lower eyelid laxity and entropion.
  • Existing surgical repairs aim to restore eyelid rigidity and correct the inward turning.

Purpose of the Study:

  • To describe a simple and effective surgical technique for repairing involutional entropion.
  • To evaluate the efficacy and long-term outcomes of using ear cartilage to create a neotarsus for lower eyelid support.

Main Methods:

  • A 4 x 20 mm strip of ear conchal cartilage was harvested.
  • The cartilage graft was placed deep to the orbicularis muscle in the lower eyelid to act as a neotarsus.

Related Experiment Videos

  • The procedure was performed on 15 patients over a 6-year period.

    • Main Results:

    • Fourteen out of 15 patients achieved an excellent outcome with no recurrence of entropion.
    • One patient required a secondary lateral wedge resection, indicating a high success rate.
    • The technique demonstrated long-term effectiveness in restoring lower eyelid structural integrity.

    Conclusions:

    • Creating a neotarsus with ear cartilage is a simple, stable, and effective repair for involutional entropion.
    • The study supports the hypothesis that a shrunken and atrophic tarsal plate is a primary cause of involutional entropion.
    • This technique offers a reliable solution for restoring lower eyelid contour and function.