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Double-opposed Z plasty for upper eyelid entropion correction
G Tamir1, J C Van der Meulen, M Robinpour
1Department of Plastic and Reconstructive Surgery, Beilinson Medical Center, Petah-Tiqva, Israel.
Annals of Plastic Surgery
|September 1, 1993
Summary
A novel double-opposed Z-plasty technique effectively treated recurrent upper eyelid cicatricial entropion. This surgical approach released conjunctival traction and balanced eyelid forces, preventing recurrence for two years.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Recurrent cicatricial entropion of the upper eyelid presents a significant surgical challenge.
- This condition often results from postsurgical fibrotic and scarred tissue, complicating treatment.
Observation:
- A 53-year-old patient with complex postsurgical cicatricial entropion of the upper eyelid was treated.
- The surgical approach involved double-opposed Z-plasty incisions via an anterior route.
Findings:
- The outer Z incision involved the skin and orbicularis oculi muscle.
- The inner Z incisions, in a mirror-image fashion, incorporated the tarsal plate and conjunctiva.
- This technique successfully released vertical conjunctival traction and balanced anterior and posterior eyelid forces.
Implications:
- The described double-opposed Z-plasty technique offers a viable solution for challenging cases of recurrent cicatricial entropion.
- The procedure achieved both symptomatic and clinical improvement with no recurrence at a 2-year follow-up.
- This method holds promise for improving outcomes in upper eyelid reconstructive surgery.