Anderson R L, Hatt M U, Dixon R
Arch Ophthalmol. 1979 Mar;97(3):521-4. doi: 10.1001/archopht.1979.01020010265017.
Medial ectropion of the lower lid responds poorly to standard ectropion procedures. This region contains the initial parts of the nasolacrimal excretory system, which must be functionally reestablished. A new surgical approach to medial ectropion consists of a Z-plasty transposition skin flap from the upper to the lower lid, a plication of the lower crus of the medial canthal tendon, and a punctoplasty. The posterior and superior contraction forces in the transposition flap enhance and maintain the result. Seven lids have been successfully operated on with this technique from the functional and cosmetic point of view.
下睑内侧外翻对标准的外翻手术反应不佳。该区域包含鼻泪排泄系统的起始部分，必须对其功能进行重建。一种治疗内侧外翻的新手术方法包括从上睑到下睑的Z形皮瓣转移、内侧眦韧带下脚折叠术和泪点成形术。转移皮瓣中的后向和上向收缩力可增强并维持手术效果。从功能和美容角度来看，采用该技术已成功对7只眼睑进行了手术。
