Severe cicatrical ectropion: repair with a large advancement flap and autologous fascia sling.

We present a 35-year-old male who, 9 years ago, had his right orbit and face injured in a gun blast accident resulting in severe cicatrical ectropion of the right lower lid. A large advancement facial flap with incision at the naso-labial fold was designed to repair the skin defect, and a strip of autologous fascia lata was grafted in the lower lid to serve as a static sling. The facial flap was dissected and elevated at the subcutaneous fat layer. With adequate separation of the flap and suspension sutures at the undersurface of the flap, tension free closure of the wound was obtained and the ectropion completely corrected. The postoperative course was uneventful and the patient very satisfied with the results.