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Cicatricial Ectropion

  • Michael J. Hawes
Chapter

Abstract

Cicatricial ectropion is described with emphasis on pathogenesis, surgical procedures, and complications. The pathogenesis of cicatricial ectropion includes trauma, skin diseases, thermal and chemical injuries, and iatrogenic causes, such as excessive skin removal in lower blepharoplasty. Factors that may be present in cicatricial ectropion include vertical skin shortage or contracture and horizontal lid laxity. The surgeon should determine which of these factors needs correction and then select from the following surgical options.

Keywords

Cicatricial ectropion Z-plasty Skin graft Skin-muscle flap Myocutaneous flap Horizontal eyelid laxity Complications 

Supplementary material

419986_5_En_27_MOESM1_ESM.mpeg
Video 27.1 Full-thickness skin graft for cicatricial ectropion. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/atlas-video/full-thickness-skin-graft-to-lower-eyelid-thermal-burn.htm (MPEG 202458 kb)
419986_5_En_27_MOESM2a_ESM.mp4 (61.2 mb)
Video 27.2a Harvesting of skin. Courtesy of Richard C. Allen, MD, PhD, FACS. Preauricular. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/8/4-preauricular-skin-graft-harvest.htm (MP4 62632 kb)
419986_5_En_27_MOESM2b_ESM.mp4 (109.9 mb)
Video 27.2b Harvesting of skin. Courtesy of Richard C. Allen, MD, PhD, FACS. Retroauricular http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/2/Retroauricular-skin-graft-harvest.htm (MP4 112541 kb)
419986_5_En_27_MOESM2c_ESM.mp4 (93.9 mb)
Video 27.2c Harvesting of skin. Courtesy of Richard C. Allen, MD, PhD, FACS. Supraclavicular. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Full-thickness-graft-supraclavicular.htm (MP4 96158 kb)
419986_5_En_27_MOESM2d_ESM.mp4 (59.6 mb)
Video 27.2d Harvesting of skin. Courtesy of Richard C. Allen, MD, PhD, FACS. Inside upper arm. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Full-thickness-graft-inside-upper-arm.htm (MP4 61057 kb)

Suggested Readings

  1. 1.
    Eyelid malpositions. In: McCord CD Jr., Myron Tanenbaum M, editors. Oculoplastic surgery, 2nd ed. New York: Raven Press; 1987. pp. 309–311.Google Scholar
  2. 2.
    Ehrlich MS, Richard MJ, Woodward JA. Demographic characteristics of patients requiring full-thickness skin grafts for cicatricial ectropion at Duke Eye Center from 2000 to 2010. Ophthal Plast Reconstr Surg. 2012;28(6):476–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Michael J. Hawes
    • 1
  1. 1.Department of OphthalmologyUniversity of Colorado Health Sciences CenterDenverUSA

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