Surgical treatment of involutional lower lid entropy

INTRODUCTION: Entropion is defined as an internal rotation of the eyelid margin. The contact of the eyelid skin and eyelashes with the eye may result in irritating symptoms, corneal abrasions, and scars. The purpose of this study is to present the effectiveness of the technique described by Lessa in...

Full description

Saved in:
Bibliographic Details
Main Authors: Renata Lowndes Corrêa Francalacci, Sérgio Lessa
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2017-12-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/1886/en_v32n4a05.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849412231128678400
author Renata Lowndes Corrêa Francalacci
Sérgio Lessa
author_facet Renata Lowndes Corrêa Francalacci
Sérgio Lessa
author_sort Renata Lowndes Corrêa Francalacci
collection DOAJ
description INTRODUCTION: Entropion is defined as an internal rotation of the eyelid margin. The contact of the eyelid skin and eyelashes with the eye may result in irritating symptoms, corneal abrasions, and scars. The purpose of this study is to present the effectiveness of the technique described by Lessa in the treatment of involutional entropion. METHODS: We underwent correction of involutional entropion on 13 lower eyelids. We used the Lessa technique, in which a subciliary incision was made, a skin flap was dissected from the orbicularis oculi, a muscle strip was resected, and a skin-septum-skin suture was made. The procedure was associated with lateral support. RESULTS: There were 11 patients (5 men and 6 women) with a mean age of 76.72 years (69 to 84 years), totaling 13 eyelids, as two patients had bilateral pathology. Eight patients (9 eyelids) used muscular suspension technique. In one patient, the tarsal suspension was performed, and in two patients (three eyelids), we used the tarsal flap. The mean operative time (for eyelid) of patients undergoing muscle suspension was 36.55 min, while that in patient undergoing canthoplasty was 56 min. No patient had recurrence, and one patient developed ectropion. CONCLUSION: The technique described by Lessa proved to be effective since there was no recurrence.
format Article
id doaj-art-47401e993cd54d068a8809b87ff1e37b
institution Kabale University
issn 1983-5175
2177-1235
language English
publishDate 2017-12-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series Revista Brasileira de Cirurgia Plástica
spelling doaj-art-47401e993cd54d068a8809b87ff1e37b2025-08-20T03:34:30ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-12-01320449149610.5935/2177-1235.2017RBCP0081Surgical treatment of involutional lower lid entropyRenata Lowndes Corrêa Francalacci0Sérgio Lessa1Hospital Federal da Lagoa, Rio de Janeiro, RJ, BrazilUniversidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, BrazilINTRODUCTION: Entropion is defined as an internal rotation of the eyelid margin. The contact of the eyelid skin and eyelashes with the eye may result in irritating symptoms, corneal abrasions, and scars. The purpose of this study is to present the effectiveness of the technique described by Lessa in the treatment of involutional entropion. METHODS: We underwent correction of involutional entropion on 13 lower eyelids. We used the Lessa technique, in which a subciliary incision was made, a skin flap was dissected from the orbicularis oculi, a muscle strip was resected, and a skin-septum-skin suture was made. The procedure was associated with lateral support. RESULTS: There were 11 patients (5 men and 6 women) with a mean age of 76.72 years (69 to 84 years), totaling 13 eyelids, as two patients had bilateral pathology. Eight patients (9 eyelids) used muscular suspension technique. In one patient, the tarsal suspension was performed, and in two patients (three eyelids), we used the tarsal flap. The mean operative time (for eyelid) of patients undergoing muscle suspension was 36.55 min, while that in patient undergoing canthoplasty was 56 min. No patient had recurrence, and one patient developed ectropion. CONCLUSION: The technique described by Lessa proved to be effective since there was no recurrence.http://www.rbcp.org.br/export-pdf/1886/en_v32n4a05.pdfentropyeyelid diseasesreconstructive surgical procedures
spellingShingle Renata Lowndes Corrêa Francalacci
Sérgio Lessa
Surgical treatment of involutional lower lid entropy
Revista Brasileira de Cirurgia Plástica
entropy
eyelid diseases
reconstructive surgical procedures
title Surgical treatment of involutional lower lid entropy
title_full Surgical treatment of involutional lower lid entropy
title_fullStr Surgical treatment of involutional lower lid entropy
title_full_unstemmed Surgical treatment of involutional lower lid entropy
title_short Surgical treatment of involutional lower lid entropy
title_sort surgical treatment of involutional lower lid entropy
topic entropy
eyelid diseases
reconstructive surgical procedures
url http://www.rbcp.org.br/export-pdf/1886/en_v32n4a05.pdf
work_keys_str_mv AT renatalowndescorreafrancalacci surgicaltreatmentofinvolutionallowerlidentropy
AT sergiolessa surgicaltreatmentofinvolutionallowerlidentropy