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Hee-Bae Ahn, Seoung Hyun An, Choi Woo seok, Eun Jung Sohn; Buccal mucous membrane grafting for cicatricial entropion. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4749.
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To evaluate the use of anterior lamellar recession or posterior lamellar resection with buccal mucous membrane grafting for treatment of cicatricial entropion.
A retrospective chart review was performed of all cases of anterior lamellar recession or posterior lamellar resection with buccal mucous membrane grafting performed by one surgeon for cicatricial entropion or trichiasis of the upper or lower eyelids from June 2008 to May 2014. The height of each graft was measured during and after surgery and the amount of contraction was measured for each graft.
12 eyelids underwent anterior lamellar recession, 14 eyelids underwent posterior lamellar resection and all patients had procedure of buccal mucosal graft. 26 eyelids (14 upper lids, 12 lower lids) were identified in 16 patients. The patients’ mean age was 56.3 years. The mean follow-up period was 7.9 months (range 2-24 months). One eyelid underwent repeat grafting for recurrent entropion secondary to graft dislocation. The mean graft contraction rate was 18% after 12 months. There was a reduction in the frequency of patients reporting discomfort, foreign body sensation, tearing and pain following treatment in 23 eyelids. 2 eyelids had recurrent entropion that was managed by electrolysis or cilia epilation.
Minimal graft contraction can be anticipated with the use of mucosal graft. Anterior lamellar recession or posterior lamellar resection with buccal mucous membrane grafting in patients with cicatricial entropion is a simple and cosmetically effective procedure without complications.
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