[The chondromucosal graft. Its use in the correction of entropion caused by tarsoconjunctival cicatrix, trichiasis and distichiasis].
The use of chondromucosal grafts is the classical treatment for reconstruction of the eyelids, whereas these grafts are less employed for correction of tarso-conjunctival scars due to either disease or surgery. The ideal nasal graft is the triangular cartilage, as its mucosa is more delicate and more adhesive than that of the septum, and it separation and positioning do not involve any problems if certain rules are followed. The technique appears attractive to us, as it is simple to perform, there is a lack of postoperative complications and it is logical (replacing a pathological tissue or a missing tissue by an identical one, keeping the lids framework). It appears to be not enough employed in trachomatous entropion (both eyelids being generally affected). However, the technique is useful: during first intention surgery (whether associated or not with tarsectomy); in all cases of recurrence, where it appears to be the only worthwhile treatment (trachomatous eyelids already operated upon by another method, tarsectomy alone).
D002356:Cartilage / Q000637:transplantation*; D002921:Cicatrix / Q000601:surgery; D004774:Entropion / Q000601:surgery*; D005140:Eyelashes; D005141:Eyelid Diseases / Q000601:surgery*; D006801:Humans; D009092:Mucous Membrane / Q000637:transplantation; D013518:Surgery, Plastic / Q000379:methods*
La greffe chondro-muqueuse. Son intéret dans la correction de l'entropion par cicatrice tarso-conjonctivale, du trichiasis et du distichiasis.