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Huayi Lu, Yaru Dong, ; Modified multipare Z-plasty surgery to correct the angular deformity of the eyelid after injury. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4753.
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The longitudinal scar in the eyelids tissue can make the eyelid to angular deformity, even to be the greater risk of lagophthalmos ectropion or exposure keratitis.Those disease may impact nomal vision. Eyelid angular deformity correction surgery can restore the eyelid function and change patients’s appearance
7 eyelids of 7 patients (1 woman, 6 men) underwent this procedure. Gentian violet was used to draw a line on the eyelid scar place. Sliced incision was placed through the skin and subcutaneous tissue, The scar tissue was resected , The meibomian was cut along dislocation healing lineand completely release eyelid so that the eyelid could returned to normal range of activity .The meibomian was sutured and make it to a normal radian. 4-5 groups of Z lines were drawed along the direction of skin incision by gentian violate . Then the skin incision were placed and according the line of the tension, exchange the position of the flap. Subcuteous tissue were suture by 6/0 absorbable suture and the skin were sutured by 6/0 nylon suture line nodular skin suture. Functional and cosmetic results were evaluated and the advantages of this technique were stressed.
Mean age was 34.0 years (range 26 - 50) with a mean follow-up period of 12 months (range 6 - 22). All cases eyelids achieved good to excellent final lid positions and adequate cosmetic results with no postoperative complications. On the basis of our experience and the bibliography reviewed, we decided to use the multipare Z-plasty surgery can effectively prevent the recurrence of eyelid angular deformity after postoperative scar contraction. We found it was a good election for this patient since we achieved good functional, anatomical, and aesthetical results.
Multipair transposition flap is a effectively treatment for eyelid angular deformity. Because of the multipair transposition flap changed the scar traction direction, and effectively decrease the intensity of the wounded skin in the length of the main shaft direction, so can effectively prevent postoperative scar contraction appear again eyelid angular deformity.
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