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KMID : 1038920180170030074
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Annals of Optometry and Contact Lens
2018 Volume.17 No. 3 p.74 ~ p.76
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Cicatricial Ectropion Correction using Autologous Skin Graft after Surgery for Blowout Fracture
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Lee Suk-Yeon
Yang Sung-Won
Park Jin-Hwan
Lee Hwa
Baek Se-Hyun
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Abstract
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Purpose: Cicatricial ectropion is caused by shortening of the anterior lamella, which is comprised of the skin and orbicularis muscle. There is a much higher incidence of ectropion after blowout fracture surgery that applies subciliary incisions than the transconjunctival approach. We report a case of lower lid cicatricial ectropion following blowout fracture reconstruction that was performed through subciliary incision and was successfully repaired by an autologous skin graft.
Case summary: A 27-year-old man presented with right lower eyelid ectropion following surgery for a blowout fracture on the right inferior wall. The blow-out fracture had been reconstructed via a subciliary incision one year ago, by a plastic surgeon. His cicatricial ectropion was corrected through autologous skin graft from his left upper eyelid with a lateral tarsal strip procedure. The autologous skin graft successfully replenished the lower lid tissue defect, and the patient did not experience lid retraction or ectropion at 9 months after surgery. There were no postoperative complications on his left upper eyelid, which was the donor site for the autologous skin graft.
Conclusions: Surgical repair with an autologous skin graft from the contralateral upper eyelid is an effective procedure for managing cicatricial ectropion following surgery or trauma in young patients.
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KEYWORD
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Cicatricial ectropion, Skin graft, Subciliary incision
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