Purpose: The transconjunctival, subciliary, subtarsal, and subpalpebral approaches for accessing the infraorbital rim and orbital floor have both advantages and disadvantages. The most common complications include rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and frank ectropion. Materials and patients: From 2000 to 2007, we treated 29 patients with lower eyelid malposition after surgery to manage the floor and infraorbital trauma (22 subciliary approaches, five transconjunctival approaches and lateral canthotomies, and two transconjunctival approaches). To correct lower eyelid malposition, we applied the tarsal strip technique in all patients. Results: Twenty-five patients had scleral show and four patients had ectropion: three were previous treated using transconjunctival access and one using subciliary access. Twenty-six patients obtained satisfactory correction of eyelid malposition in a single-step surgical procedure, while three patients required a second surgical step to correct the remaining scleral show. Good aesthetic and functional results were achieved in all cases. Conclusions: All approaches to the infraorbital rim or orbital floor have the potential for postoperative sequelae. The tarsal strip technique is a relatively simple technique that oral and maxillofacial surgeons can use to manage lower lid malposition, such as scleral show and ectropion. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma / Salgarelli, Attilio Carlo; Bellini, Pierantonio; A., Multinu; B., Landini; Consolo, Ugo. - In: BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY. - ISSN 0266-4356. - STAMPA. - 47:4(2009), pp. 298-301. [10.1016/j.bjoms.2009.01.019]

Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma

SALGARELLI, Attilio Carlo;BELLINI, Pierantonio;CONSOLO, Ugo
2009

Abstract

Purpose: The transconjunctival, subciliary, subtarsal, and subpalpebral approaches for accessing the infraorbital rim and orbital floor have both advantages and disadvantages. The most common complications include rounding of the lateral canthal angle, lower eyelid retraction with inferior scleral show, and frank ectropion. Materials and patients: From 2000 to 2007, we treated 29 patients with lower eyelid malposition after surgery to manage the floor and infraorbital trauma (22 subciliary approaches, five transconjunctival approaches and lateral canthotomies, and two transconjunctival approaches). To correct lower eyelid malposition, we applied the tarsal strip technique in all patients. Results: Twenty-five patients had scleral show and four patients had ectropion: three were previous treated using transconjunctival access and one using subciliary access. Twenty-six patients obtained satisfactory correction of eyelid malposition in a single-step surgical procedure, while three patients required a second surgical step to correct the remaining scleral show. Good aesthetic and functional results were achieved in all cases. Conclusions: All approaches to the infraorbital rim or orbital floor have the potential for postoperative sequelae. The tarsal strip technique is a relatively simple technique that oral and maxillofacial surgeons can use to manage lower lid malposition, such as scleral show and ectropion. (C) 2009 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
2009
47
4
298
301
Tarsal strip technique for correction of malposition of the lower eyelid after treatment of orbital trauma / Salgarelli, Attilio Carlo; Bellini, Pierantonio; A., Multinu; B., Landini; Consolo, Ugo. - In: BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY. - ISSN 0266-4356. - STAMPA. - 47:4(2009), pp. 298-301. [10.1016/j.bjoms.2009.01.019]
Salgarelli, Attilio Carlo; Bellini, Pierantonio; A., Multinu; B., Landini; Consolo, Ugo
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/622659
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