Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/103213
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Type: Journal article
Title: Modified auricular cartilage sling for paralytic ectropion
Author: Watanabe, A.
Katori, N.
Selva, D.
Hayashi, K.
Kinoshita, S.
Citation: Journal of Plastic, Reconstructive and Aesthetic Surgery, 2015; 68(7):902-906
Publisher: Elsevier
Issue Date: 2015
ISSN: 1748-6815
1878-0539
Statement of
Responsibility: 
Akihide Watanabe, Nobutada Katori, Dinesh Selva, Kengo Hayashi, Shigeru Kinoshita
Abstract: Objective: To evaluate the outcomes of a modified auricular cartilage sling for paralytic ectropion. Methods: We treated 17 eyelids of 17 patients (average 67 years old) with an auricular cartilage sling between 2004 and 2012. All patients had paralytic ectropion with lower eyelid ptosis. Cartilage was harvested via an incision just inside the anterior rim of the helix. Skin incisions were made at the subciliary, medial and lateral canthal regions. The auricular cartilage graft was sutured to the medial canthal tendon medially, lateral orbital rim laterally, inferior tarsus superiorly, and lower eyelid retractors inferiorly. Average follow-up period was 40 months (range 16e60 months). Results: The median L-MRD (mm) was improved from 8.4 preoperatively (interquartile range 7.5e8.9) to 5.2 postoperatively (4.8e5.3). The median lagophthalmos (mm) was improved from 5.8 preoperatively (4.7e7.0) to 2.2 postoperatively (1.6e2.6). 16 patients had corneal exposure preoperatively and this resolved completely in 12 patients. All patients experienced good anatomical and functional results with relief of their preoperative pain/discomfort symptoms without complications. No patients required reoperation and none experienced infection, exposure of the cartilage graft, or recurrence of lower eyelid malpositions. Postoperatively, all lower eyelids moved downward with down-gaze. The auricular scar left no significant cosmetic deformity..
Keywords: Paralytic ectropion; Auricular cartilage; Margin reflex distance; Lagophthalmos; Lower eyelid retractors
Rights: © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
RMID: 0030026871
DOI: 10.1016/j.bjps.2015.03.019
Appears in Collections:Medicine publications

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