May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Midface Lifting as an Adjunct Procedure in Ectropion Repair
Author Affiliations & Notes
  • J. E. Chung
    Ophthalmology, Cullen Eye Institute - Baylor College of Medicine, Houston, Texas
  • M. T. Yen
    Ophthalmology, Cullen Eye Institute - Baylor College of Medicine, Houston, Texas
  • Footnotes
    Commercial Relationships J.E. Chung, None; M.T. Yen, None.
  • Footnotes
    Support Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc. (New York, NY).
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 3145. doi:https://doi.org/
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    • Get Citation

      J. E. Chung, M. T. Yen; Midface Lifting as an Adjunct Procedure in Ectropion Repair. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3145. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: To evaluate the efficacy of ectropion repair with adjunctive midface lift.

Methods:: Retrospective chart review of patients with cicatricial, involutional or paralytic ectropion with midface descent. Ectropion repair with adjunctive supraperiosteal midface lifting was performed on each patient. Surgical indications included lower eyelid ectropion, lagophthalmos, and/or cosmetic deformity. Outcomes analyzed were recurrence or adequacy of ectropion correction, complications, and need for further surgery. Surgical success was determined by the need for further surgery.

Results:: A total of 32 procedures performed on 22 patients undergoing ectropion repair with adjunctive supraperiosteal midface lift were reviewed. Of the 15 procedures for patients with cicatricial ectropion, 80% (12 of 15 procedures) had improvement of lower eyelid position without the need for further surgery. 71.4% of procedures for involutional ectropion (10 of 14 procedures) resulted in improvement in lower eyelid position without the need for further surgery. There was improvement in ectropion in all patients with paralytic ectropion and no recurrences. A total of five patients had recurrences after ectropion repair with midface lift secondary to peri-operative complications, a shortage of anterior lamella, or due to a heavy midface.

Conclusions:: We demonstrated that most patients undergoing midface lift in addition to ectropion repair have a favorable result. This is to be expected given the close anatomic relationship between the lower eyelid and the midface. A midface lift should be considered in all patients who have both ectropion and significant midface descent.

Keywords: eyelid 
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