Lateral Tarsal Strip, Can It Be One Solution for All Types of Lower Eyelid Malposition? | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 1, Volume 75, Issue 5, April 2019, Page 2745-2752 PDF (408.29 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.32066 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Al-Taher A. A  1; Abd El Rahman Awadeen2
| ||||
| 1Department of Ophthalmology, Faculty of Medicine (Boys), Al-Azhar University, Cairo, Egypt | ||||
| 2Department of Plastic, Burn, and Reconstructive Surgery, Faculty of Medicine (Boys), Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Due to the exact nature and complex anatomy of the eyelid, corrective surgeries require a comprehensive understanding of the anatomy as well as comprehensive preoperative planning and surgical enforcement. Aim of the study: the present study was performed to evaluate the functional and cosmetic sequels of the lateral tarsal strip (LTS) in the correction of lower eyelid malposition Patients and Methods: this prospective single-arm interventional study was carried on 27 patients (27 eyelids) with lower eyelid malposition, executed from January 2015 to December 2017. Patients with lower eyelid malposition in the form of entropion, ectropion, or laxity as a sequence of facial palsy, involutional changes, spastic entropion and lid laxity with failure of opposition to the artificial shell were included. Results: Patients were 12 males and 15 females with a mean age of 59.37±10.27 years. Out of them, 17 (62.9%), 8 (29.6%), and 2 (7.4%) were suffered from ectropion, entropion, and lower eyelid laxity, respectively. As for the functional and aesthetic outcomes, 10 (90.9%) of patients with lower eyelid malposition, as a resultant effect of facial nerve palsy, have experienced complete healing of the epithelial defects; additionally, 4 (66.6%) of involutional ectropion candidates showed improvement of the tearing eye. Eventually, 6 (22.2%) participants developed postoperative complications. Conclusion: LTS is a simple procedure which proved its safety and efficacy in the surgical correction of lower eyelid malposition of different types and etiologies | ||||
| Keywords | ||||
| Lateral tarsal strip; Eyelid Malposition; Entropion; Ectropion; Facial nerve palsy | ||||
|
Statistics Article View: 213 PDF Download: 694 |
||||
