Interventions for Functional and Cosmetic Outcomes Post Burn for Eyelid Ectropion-A Scoping Review

Area of Science:

• Plastic Surgery
• Burn Management
• Ophthalmology

Background:

• Facial burn injuries can lead to severe functional and cosmetic deficits, including eyelid ectropion.
• Eyelid ectropion can cause significant distress, impacting daily activities and self-esteem.
• While early intervention for ectropion is recognized, consensus on post-burn management techniques is lacking.

Purpose of the Study:

• To conduct a scoping review of existing literature.
• To identify and explore surgical and non-surgical techniques for managing and preventing eyelid ectropion following burn injuries.

Main Methods:

• A comprehensive literature search was performed across five major databases (PubMed, CINAHL, Embase, Cochrane, Scopus) from January 2014 to August 2024.
• Articles were screened by two independent reviewers, with a third reviewer resolving any disagreements.
• Included studies focused on eyelid ectropion management post-burn.

Main Results:

• Out of 56 initial articles, 14 were included in the final review.
• All included studies reported on surgical management techniques for post-burn eyelid ectropion.
• Only one study investigated non-surgical interventions; all studies were observational.

Conclusions:

• There is a significant lack of research on both surgical and non-surgical methods for managing and preventing eyelid ectropion in adult burn survivors.
• The current evidence base is largely composed of case studies and case series, limiting the strength of conclusions.
• Further robust research is needed to establish effective management strategies for this condition.