Burn Scar Ectropion Correction: Surgical Technique for Functional Outcomes.

Area of Science:

• Ophthalmology
• Plastic Surgery
• Burn Reconstruction

Background:

• Severe facial burn injuries often lead to eyelid scarring and contraction.
• Scarring causes eyelid malposition, corneal exposure, and potential vision loss.
• Eyelid axis distortion compromises ocular surface health and visual function.

Purpose of the Study:

• To present a surgical technique for correcting eyelid malposition after facial burns.
• To evaluate the efficacy of lateral canthopexy combined with full-thickness skin grafting (FTSGing).
• To address vision-threatening complications arising from post-burn eyelid scarring.

Main Methods:

• Retrospective case study of 5 patients with severe facial burns and eyelid malposition.
• Surgical intervention involved lateral transosseous canthopexy and FTSGing.
• Data collected on eyelid function, ocular surface status, and visual outcomes.

Main Results:

• All 5 patients achieved improved eyelid symmetry and complete closure.
• Ophthalmological examinations revealed resolved corneal erosions and reduced chemosis/epiphora.
• Vision impairment was prevented; 2 patients required revision FTSGing for recurrent lower eyelid retraction.

Conclusions:

• Lateral transosseous canthopexy with FTSGing is effective for correcting burn-induced eyelid malposition and ectropion.
• The surgical approach durably restores eyelid function and protects vision.
• Timely surgical intervention and early risk detection are crucial for optimal outcomes.