The use of fibrin tissue glue in the repair of cicatricial ectropion of the lower eyelid

Ophthalmic Plastic and Reconstructive Surgery
Sarah F OsbornePaul M Rosser

Abstract

To evaluate the effectiveness of full-thickness skin graft adhesion using fibrin tissue glue (TISSEEL) in cicatricial ectropion repair of the lower eyelid. This study was a prospective case series. Nine eyes of 8 consecutive patients with cicatricial ectropion were included. All patients underwent a conjunctival approach lower eyelid retractor plication, lateral tarsal strip, and insertion of a full-thickness skin graft secured with TISSEEL. Symptoms of epiphora, eye and eyelid irritation, discharge, and graft size were recorded pre- and postoperatively. All of the patients were satisfied with their postoperative appearance, and the symptoms of eye and eyelid irritation, discharge, and visual disturbance were eliminated. Fifty-five percent of patients had complained of watering some or all of the time preoperatively, whereas only 33% admitted to occasional watering postoperatively. The average size of the graft reduced by 18% at 1 week, 39% at 1 month, and 40% at 3 months from the initial size. Fibrin tissue glue used to attach a full-thickness skin graft during cicatricial ectropion repair is an effective technique and may offer additional benefits over sutured graft fixation. Most of the reduction in graft size occurred in th...Continue Reading

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Citations

Apr 4, 2014·Journal of Plastic Surgery and Hand Surgery·Haichen SongLiang Zheng
May 10, 2011·Aesthetic Surgery Journal·Marisa MarquesJosé Amarante
Sep 14, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Laura J KooistraJeremy S Bordeaux

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