Correction of involutional entropion with suborbicularis septal and lateral canthal tightening

Plastic and Reconstructive Surgery
Henry M SpinelliDonald R Nunn

Abstract

Involutional entropion, or infolding of the margin of the eyelid, is a common eyelid malposition affecting the elderly that can lead to significant morbidity when not corrected. It is notable for both functional and cosmetic sequelae. Numerous surgical techniques have been described to correct this defect; however, because of its multifactorial pathophysiology, no single procedure has been entirely satisfactory. In this study, the authors present a simple and effective surgical procedure that addresses the salient pathophysiology and successfully corrects this defect with minimal morbidity or chance of recurrence. Two hundred fifty-three patients (409 eyelids) with involutional entropion who underwent surgical repair from 1995 to 2004 were analyzed. All patients were symptomatic, ranging in age from 61 to 96 years (115 men and 138 women). All patients underwent lateral canthal lysis, suborbicularis and supraorbicularis undermining, canthoplasty, and lateral muscle suspension with septal tightening. All 409 eyelids with symptomatic involutional entropion were successfully corrected. All patients were satisfied with both the functional and cosmetic outcome and experienced a short recovery time. Objective examination revealed a ma...Continue Reading

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Citations

Oct 14, 2011·Aesthetic Plastic Surgery·Sophie BartsichHenry M Spinelli
Dec 15, 2011·Lasers in Medical Science·Orhan Babuccu
Jul 11, 2012·The Journal of Craniofacial Surgery·Shinichi AsamuraNoritaka Isogai
Jul 16, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Igal Leibovitch
Apr 30, 2014·The Journal of Craniofacial Surgery·Shinichi AsamuraNoritaka Isogai
Nov 7, 2016·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·José Santiago López-GarcíaIsabel Elosua de Juan
Jan 19, 2007·Plastic and Reconstructive Surgery·Kimia Ziahosseini, Thabit A Mustafa Odat
Oct 14, 2018·International Ophthalmology·Peihsuan LinHirohiko Kakizaki

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