Vana Luiz Philipe Molina, Isaac Cesar, Alonso Nivaldo
Division of Plastic Surgery and Burns of Clinics Hospital of University of São Paulo, Brazil.
Division of Plastic Surgery and Burns of Clinics Hospital of University of São Paulo, Brazil.
Burns. 2014 Dec;40(8):1713-9. doi: 10.1016/j.burns.2014.02.016. Epub 2014 Jul 3.
The extrinsic ectropion is a condition with low prevalence characterized by an ectropion with normal eyelid and anatomy unchanged and the cause is found in tissues adjacent orbits. There are not many studies in the literature regarding their treatment, especially without addressing the eyelid respecting its anatomical integrity.
To evaluate the outcome of 8 extrinsic ectropions secondary to facial burns treated with facial suspension technique.
Five patients were evaluated with sequelae of facial burns and extrinsic unilateral or bilateral ectropion, a total of 8 ectropions. The technique used was the endoscopic facial suspension with or without release of the facial scar retraction. We evaluated the position of the lower lid over medium-pupillary line, symptoms, complications and patient satisfaction in a 24 months follow-up.
6 Peri-orbital regions showed good results and two moderate results, all cases had clinical improvement of the ectropion, the symptoms and the esthetic aspect; there was not any complication or reoperation. There was a gain of 2.2-26.2% of the lower eyelid margin position in relation to the horizontal mid-pupillary line.
The endoscopic facial suspension proved to be a surgical technique with low morbidity and efficient treatment in 8 facial extrinsic ectropion.
外部性睑外翻是一种患病率较低的病症，其特征为睑外翻且眼睑及解剖结构正常，病因存在于眼眶周围组织。文献中关于其治疗的研究不多，尤其是未在尊重眼睑解剖完整性的情况下进行治疗。
评估采用面部悬吊技术治疗8例继发于面部烧伤的外部性睑外翻的效果。
对5例有面部烧伤后遗症及外部性单侧或双侧睑外翻的患者进行评估，共8处睑外翻。所采用的技术是内镜下面部悬吊术，可伴有或不伴有面部瘢痕挛缩松解。在24个月的随访中，我们评估了下睑相对于瞳孔中线的位置、症状、并发症及患者满意度。
6个眶周区域效果良好，2个区域效果中等，所有病例的睑外翻、症状及美观方面均有临床改善；未出现任何并发症或再次手术情况。下睑缘相对于水平瞳孔中线的位置提高了2.2% - 26.2%。
内镜下面部悬吊术被证明是一种治疗8例面部外部性睑外翻发病率低且有效的手术技术。
